Aeromedical interhospital transport of an adult with COVID-19 on extracorporeal membrane oxygenation: case report

Author:

de Carvalho Vânia Paula1ORCID,da Silva Bruno Gonçalves2ORCID,Ferreira Flávio Lopes1ORCID,Elias André Alves3ORCID,de Aguiar Filho Armando Sergio2ORCID,Galindo Neto Nelson Miguel4ORCID

Affiliation:

1. Universidade Federal de Minas Gerais, Brazil

2. Universidade FUMEC, Brazil

3. Universidade José do Rosário Vellano, Brazil

4. Instituto Federal de Educação, Brazil

Abstract

Abstract Objective: To describe the experience of aeromedical interhospital transport of an adult patient with severe hypoxemic respiratory failure due to SARS-CoV-2, on extracorporeal membrane oxygenation. Method: This is a case report, guided by the tool Case Report Guidelines, with a descriptive approach. Data were collected from the digital medical record and field notes after the approval by the Institution and the Human Research Ethics Committee. Results: The transport of a critically ill, unstable patient with acute respiratory syndrome 2 on extracorporeal oxygenation was an opportunity for the team to acquire new knowledge. The proper preparation of the fixed-wing aircraft and the profile of the team of specialist nurses contributed to the safety and quality in the three phases of flight: preflight, in-flight and post-flight. Conclusion: Air transport of adults on cardiopulmonary bypass to referral centers, under the care of an experienced multidisciplinary team, can contribute to positive results. The nurses’ autonomy, their leadership role and expertise in process management are highlighted. Thus, success was evidenced with the patient’s discharge after 45 days from the Intensive Care Unit.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

Reference21 articles.

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2. Coronavirus disease (COVID-19) outbreak: rights, roles and responsibilities of health workers, including key considerations for occupational safety and health: interim guidance,2020

3. Experience of physician and nurse specialists in Sweden undertaking long distance aeromedical transportation of critically ill patients: A qualitative study;Frost E;International emergency nursing.,2019

4. Interhospital transport of critically ill patients: experiences and challenges, a qualitative study;Eiding H;Scandinavian journal of trauma, resuscitation and emergency medicine.,2019

5. Vignettes in Patient Safety;Luster J,2017

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