Page 513 - Clinical Application of Mechanical Ventilation
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Procedures Related to Mechanical Ventilation  479



                          TABLE 14-4 Respiratory Care Equipment and Supplies for Transport of Mechanically Ventilated Patients

                          Type                                   Items*

                          Standard Precaution**                  Gloves (sterile and clean)
                                                                 Gowns
                                                                 Eye protection

                          Patient Assessment and Monitoring      Stethoscopes 
                                                                 Pulse oximeter
                                                                 Blood pressure cuffs
                                                                 Cardiac or hemodynamic monitor
                          Airway Management                      Oropharyngeal and nasopharyngeal airways
                                                                 Resuscitation bags and masks
                                                                 Intubation supplies (laryngoscope handles and blades, 
                                                                   fresh batteries, endotracheal tubes, etc.)
                                                                 Cuff manometer and 10-mL syringe
                                                                 Suctioning devices (catheters and tonsil tip)

                          Oxygenation Supplies                   Oxygen cylinders (full and with wrench)
                                                                 Oxygen tubing with adaptor

                          Advanced Cardiac Life Support (ACLS)   Drugs and solutions according to current ACLS 
                            Pharmacological Agents                 Guidelines

                        *Some items require different sizes.
                        **(Siegel et al., 2007).
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                          TABLE 14-5 Modes of Transportation

                          Mode                 Range             Advantage               Disadvantage
                          Ground ambulance     ,150 miles        Low cost, safer, and    Limited by road and traffic 
                                                                   more reliable than      conditions
                                                                   helicopter
                          Helicopter           ,150 miles        Not limited by road     Noisy, must have landing 
                                                                   and traffic             pad at both facilities
                                                                   conditions
                          Propeller-driven     100 to 200 miles  Faster than helicopter if   Reduced P O  and rela-
                                                                                                     2
                                                                                                   I
                          aircraft                                 landing locations are   tive humidity since low 
                                                                   near both facilities    altitude aircrafts are not 
                                                                                           pressurized

                          Jet                  .200 miles        Fast and able to travel   Variable delivered V  due 
                                                                                                           T
                                                                   intercontinental        to low or changing cabin 
                                                                   distance                pressure (commonly 
                                                                                           pressurized to 5,000 ft to 
                                                                                           8,000 ft above sea level).

                        (Data from Cunningham et al., 1997; Mills et al., 2011; Nicholl et al., 1994; Shehey, 1995; Rouse et al., 1992.)
                        © Cengage Learning 2014




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