The Science Journal of the American Association for Respiratory Care

1997 OPEN FORUM Abstracts

Ventilation 'moves' (Oscillation, Nitric Oxide, Conventional) - Their uses in Transport

Kathleen Adams, RRT, Saturday, December 6, 1997.

We have progressed a long way from the days of Assist Control on the MA-1 or IMV on the Sechrist 100B. ICU's throughout the country are utilizing modes of ventilation such as High Frequency Oscillation and incorporating gases therapies such as Nitric Oxide and Heliox. Many feel that if something can be done in the ICU, it can be done on transport, right? Is that really the case? What, if anything must be done to adapt to the constraints of transport? Consideration must be given to the moving environment, the limited resources of gas supplies and space, and the sometimes impaired ability to adequately monitor the patient. One must consider the cost to get a program up and going with the newer technology in both equipment and man hours. This must then be compared to the projected utilization and need for the therapy. Finally one must ask do we do this because we need to, or simply because we can. In this hour we will discuss some of the therapies currently being done in the ICU and those that are projected for the future. We will discuss the transition from ICU to Interfacility and what that may entail for the future of interfacility transport ventilation.

AARC 50th Anniversary, December 6 - 9, 1997, New Orleans, Louisiana.

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