Intrahospital transportation: monitoring and risks

Patients' intrahospital transport is considered as part of the mediconursing care continuum, since patients frequently need diagnostic or therapeutic procedures not performed at the bedside ( Waddell 1975, Rutherford & Fisher 1986). Severe complications, such as airway obstruction, artificial airway or intravenous line removal, arterial blood gas and blood pressure changes, and arrhythmias or cardiac arrest, have been described during this transportation, especially in critically ill patients ( Taylor et al 1970). Risks can be diminished if the patients are appropriately selected and carefully monitored during transportation ( Venkataraman & Orr 1992).