학술논문
Emergent Inter-Hospital, Direct Operating Room-to-Operating Room Transport of an Anesthetized Patient: A Case Report and Discussion.
Document Type
Article
Author
Source
Subject
*Erythrocytes
*Iliac artery
*Ambulances
*Anesthesia
*Bedding
*Curare-like agents
*Endoscopes
*Fentanyl
*Hemorrhage
*Hospital admission & discharge
*Ligature (Surgery)
*Midazolam
*Operating rooms
*Patients
*Surgery
*Surgical complications
*Vaginal hysterectomy
*Mechanical ventilators
*Propofol
*Transportation of patients
*Wounds & injuries
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Language
ISSN
0966-6532
Abstract
A 37-year-old healthy woman developed an intraoperative complication while undergoing a laparoscopic-assisted vaginal hysterectomy at a Women and Children's Hospital. Her external iliac artery was nicked, requiring emergent repair consisting of lateral wall suture-ligation to control hemorrhage. The artery was suture-ligated, and the patient was stabilized. The patient was then transferred under anesthesia to a nearby hospital equipped with a surgical intensive care unit and in-house vascular surgeon for comprehensive repair of the iliac artery. In preparation for transport, EMS was contacted, and the patient was given midazolam 2 mg IV and rocuronium 40 mg IV. An infusion of propofol 75 mcg/kg/min was administered under the supervision of an anesthesiology resident who remained with the patient during transport, and a portable mechanical ventilator provided by EMS was utilized. Standard ASA monitors were used throughout the ambulance transfer. In addition to standard emergency drugs, 2 units of packed red blood cells (pRBC), additional anesthetics (rocuronium, propofol & fentanyl), a laryngoscope and blades, an i-STAT® handheld blood analyzer, and a warming blanket were taken for transport. The patient was moved directly to the operating room upon arrival to the receiving hospital. [ABSTRACT FROM AUTHOR]