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Intra-hospital Transport of Patients with Severe Coronavirus Disease 2019:An Expert Consensus
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摘要: 新型冠状病毒肺炎(coronavirus disease 2019，COVID-19)患者中，重症及危重症患者占5%~10%。此类患者在治疗与康复过程中，院内转运是必不可少的环节，为保障患者在转运过程中的安全，提高转运效率，COVID-19重症、危重症患者院内转运专家共识编写组在回顾已有证据基础上，通过多次讨论制定了《新型冠状病毒肺炎重症、危重症患者院内转运专家共识》，以期为COVID-19重症、危重症患者院内转运提供参考。Abstract: Among patients with coronavirus disease 2019(COVID-19), severe cases account for 5% to 10%. In the process of treatment and rehabilitation of such patients, Intra-hospital transport is an indispensable link. In order to ensure the safety of patients during the transfer process and improve the efficiency of transfer, the writing team of expert consensus on intra-hospital transfer of severe patients with COVID-19 reviewed existing evidence and formulated "Intra-hospital Transport of Patients with Severe Coronavirus Disease 2019" through many discussions, which provides a reference for the intra-hospital transport of patients with severe COVID-19.利益冲突 无
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表 1 重症、危重症新冠肺炎患者转运核查表
姓名 病案号 责任人 操作日期 重症、危重症新冠肺炎患者转运核查表 转运前核查 □护理组长接到通知并与医生核实，转运医护人员共同评估患者病情 □联系接收部门，确定转运时间 签名： □核对患者信息，通知家属，取得患者或家属同意 □完善并核对医疗文件 □整理患者转运用物 □转运设备完好备用 □转运药物准备齐全 □静脉通路通畅 □医护人员共同转运 □各导管妥善固定，无牵拉 □与接收部门确认患者生命体征，转运至病床 □交接患者情况及医疗文件 转运后工作 □75%酒精或含氯消毒剂喷洒并擦拭转运床 □更换转运床单和被服 签名: □将转运中使用设备用75%酒精擦拭后备用 □处理患者相关医疗文件 □将留存文件妥善放置 □按照甲类传染病防治要求处理医疗废物 
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[1] Alhazzani W, Mørten MH, Arabi YM, et al.Surviving Sepsis Campaign: Guidelines on the Management of Criti-cally Ⅲ Adults with Coronavirus Disease 2019 (COVID-19)[J].Critl Care Med, 2020, 48:e440-e469. [2] 中华人民共和国国家卫生健康委员会办公厅, 国家中医药管理局办公室.新型冠状病毒肺炎诊疗方案(试行第七版)[S].国卫办医函[2020]184号. [3] Fanara B, Manzon C, Barbot O, et al.Recommendations for the intrahospital transport of critically ill patients[J]. Crit Care, 2010, 14:R87. [4] 急诊危重症患者院内转运共识专家组.急诊危重症患者院内转运共识--标准化分级转运方案[J].中国急救医学, 2017, 37:481-485. [5] Lahner D, Nikolic A, Marhofer P, et al.Incidence of complications in intrahospital transport of critically ill patients-Experience in an Austrian university hospital[J]. Wien Klin Wochenschr, 2007, 119:412-416. [6] Papson JP, Russell KL, Taylor DM.Unexpected events during the intrahospital transport of critically ill patients[J]. Acad Emerg Med, 2007, 14:574-577. [7] 中华医学会重症医学分会.《中国重症患者转运指南(2010)》(草案)[J].中华危重病急救医学, 2010, 22:328-330. [8] 北京协和医院新型冠状病毒感染的肺炎诊治专家组.北京协和医院关于"新型冠状病毒感染的肺炎"诊疗建议方案(V2.0)[J].协和医学杂, 2020.doi: 10.3969/j.issn.1674-9081.20200022. Working Group of 2019 Novel Coronavirus, Peking Union Medical College Hospital. Diagnosis and Clinical Manage-ment of 2019 Novel Coronavirus (2019-nCoV)Infection:An Operational Recommendation of Peking Union Medical College Hospital(V2.0)[J].Xie He Yi Xue Za Zhi, 2020. doi: 10.3969/j.issn.1674-9081.20200022. [9] Warren J, Fromm RE Jr, Orr RA, et al. Guidelines for the inter- and intrahospital transport of critically ill patients[J]. Crit Care Med, 2004, 32:256-262. [10] Kue R, Brown P, Ness C, et al.Adverse clinical events during intrahospital transport by a specialized team:a preliminary report[J].Am J Crit Care, 2011, 20:153-161. [11] Beckmann U, Gillies DM, Berenholtz SM, et al.Incidents relating to the intra-hospital transfer of critically ill patients. An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care[J]. Intensive Care Med, 2004, 30:1579-1585. [12] Jones HM, Zychowicz ME, Champagne M, et al. Intraho-spital Transport of the Critically Ⅲ Adult: A Standardized Evaluation Plan[J]. Dimens Crit Care Nurs, 2016, 35:133-146. [13] 中华医学会呼吸病学分会呼吸治疗学组.新型冠状病毒感染重型及危重型患者呼吸治疗相关操作防护措施专家共识[J/OL].中华结核和呼吸杂志, 2020 (2020-02-20).http://rs.yiigle.com/yufabiao/1182334.htm.doi:10.3760/cma.j.issn.1001-0939.2020.0020. [14] Day D.Keeping patients safe during intrahospital transport[J]. Crit Care Nurse, 2010, 30:18-32. [15] Zuchelo LT, Chiavone PA.Intrahospital transport of patients on invasive ventilation: Cardiorespiratory repercussions and adverse events[J]. J Bras Pneumol, 2009, 35:367-374. [16] 汪晖, 曾铁英, 吴欣娟, 等.重型危重型新型冠状病毒肺炎患者整体护理专家共识[J].中华护理杂志, 2020, 55:337-342. [17] Parmentier-Decrucq E, Poissy J, Favory R.Adverse events during intrahospital transport of critically ill patients: incidence and risk factors[J]. Ann Int Care, 2013, 3:10. [18] Schwebel C, Clec'h C, Magne S, et al.on behalf of the OUTCOMEREA Study Group: Safety of Intrahospital Transport in Ventilated Critically Ⅲ Patients: A Multicenter Cohort Study[J]. Crit Care Med, 2013, 41:1919-1928. [19] Quenot JP, Milesi C, Cravoisy A, et al.Intrahospital transport of critically ill patients (excluding newborns)[J]. Ann Fr Anesth Reanim, 2011, 30:e83-e87, 952-956. [20] Australasian College for Emergency Medicine, Australian and New Zealanol College of Anaesthetists. Minimum standards for intrahospital transport of critically patients[J]. Emerg Med(Fremantle), 2003, 15:202-204. [21] 医院医用织物洗涤消毒技术规范WS/T 508-2016[J].中国感染控制杂志, 2017, 16: 687-692. -
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