Health Condition 1: 4- Measurement and Monitoring
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All adult patients (18years old) admitted to ICU who are unstable. Unstable included requiring high oxygen therapy, mechanical ventilation or vasoactive medications, patients with poly-trauma (not on ventilator or vasopressors) with chest drains, EVDs , patients with C spine injury with collar. Low GCS/ combative patients. Patients with arrhythmias on infusions.
Exclusion criteria
Exclusion criteria: All adult patients less than 18 years old admitted to ICU. Critically ill patients who are not on vasopressors or oxygen therapy with no drains and haemodynamically stable. Those who are not willing to give consent Pregnant Patients All patients who are shifted from elective OT to ICU are not included. Patients who are discharged from the ICU and transported out of the hospital are not included.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of major complications during and after transport of critically ill adults such as Haemodynamic instability which means SBP less than 90 mmHg, or MAP less than 65 mmHg, or need for addition of, or increase in doses of vasopressor agents Worsening of respiratory status Accidental extubation, accidental removal of Inter costal drains, abdominal drains Worsening of GCS as compared to pre-transport condition Timepoint: At baseline of shifting a patient to or from ICU. | — |
Secondary
| Measure | Time frame |
|---|---|
| Malfunction of any of the transport equipment. Whether a change in management occurred as a result of the transport, particularly for imaging, such as insertion of new drainage catheters or pigtail catheters, surgery or change of antimicrobial agents. Timepoint: In 24 hrs since beginning of shifting patient to or from ICU. | — |
Countries
India
Contacts
Jawaharlal Nehru Medical College, Aligarh Muslim University