Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Recently published papers: Clunk-click every trip, smile, but don’t stop for a drink on the way. | Critical Care December 2004 Vol 8 No 6 Stacey and Venn Commentary Recently published papers Clunk-click every trip smile but don t stop for a drink on the way Jon Stacey1 and Richard Venn2 1Senior House Officer Department of Critical Care Worthing General Hospital Lyndhurst Road Worthing UK 2Consultant Department of Critical Care Worthing General Hospital Lyndhurst Road Worthing UK Correspondence Jon Stacey jonathan_stacey@ Published online 4 November 2004 This article is online at http content 8 6 408 2004 BioMed Central Ltd Critical Care 2004 8 408-410 DOI cc3002 Abstract Reviews of the risks associated with intrahospital transfer and prolonged spinal immobilization made uncomfortable reading in August. Studies on the timing of tracheotomy and a potential role for exogenous surfactant will have done little to allay controversy. We are reminded of the neutrality of the Swiss and gain valuable insight into prognostic tools in mechanically ventilated patients with cirrhotic liver disease. Keywords cirrhotic liver disease exogenous surfactant intrahospital transfer spinal immobilisation tracheotomy The risks associated with interhospital transfer are widely accepted less is known about patient transfer within hospitals. Beckmann and coworkers 1 sought to redress this through a review of reports submitted to the Australian Incident Monitoring Study in Intensive Care AIMS-ICU . Their results although by their own admission lacking numerator or denominator values and prone to both volunteer and selection bias are perhaps unsurprising. Of the reports 31 detailed serious adverse outcomes 39 of these involved problems with equipment principally failures of power supply to monitors and infusion pumps and problems with intubation equipment and with access to patient elevators. Of the patient staff issues that comprised the remainder poor communication was most commonly quoted. Other problems included malpositioning of the artificial airway .
