Inhospital transport of critically ill adult patients: guidelines of the All-Russian public organization “Federation of Anesthesiologists and Reanimatologists”

Abstract

Intrahospital transportation of critical patients is a frequent procedure in the practice of most medical organizations, which in some cases is accompanied by a number of adverse events up to the occurrence of critical incidents. In order to improve patient safety, the Federation of Anesthesiologists and Reanimatologists of Russia (FAR) initiated in 2022 the development of national guidelines for the intrahospital transportation of critically ill adult patients. The literature search was focused on meta-analyses and randomized controlled trials, but also included registries, non-randomized comparative and descriptive studies, case series, cohort studies, systematic reviews, and expert opinion. Before publication, the guidelines were approved by the Presidium of the Board of the FAR. The guidelines are focused on the peculiarities of the organization of the process of intrahospital transportation, critical indicators of vital functions and their monitoring using methods for an objective assessment of the condition of patients. Special attention is paid to the need to form a specialized team and its training. For each recommendation, the level of evidence is presented. The guidelines were developed by experts in the field of anesthesiology and intensive care for anesthesiologists-reanimatologists and must be used as an evidence-based basis for making a decision to transport a particular critical patient by responsible health professional.