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Prehospital ventilator use for post-cardiac arrest and rapid sequenced intubated patients
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Schill, Michael. Prehospital ventilator use for post-cardiac arrest and rapid sequenced intubated patients. Retrieved from https://doi.org/doi:10.7282/t3-2rvx-4904

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TitlePrehospital ventilator use for post-cardiac arrest and rapid sequenced intubated patients
NameSchill, Michael (author); Kamienski, Mary (chair); Vitale, Tracy R (member); Feldman, David C (member); Rutgers University; RBHS School of Nursing
Date Created2022
Other Date2022-05 (degree)
SubjectNursing, Cost per day with mechanical ventilation, Mechanical ventilation, Post cardiac arrest, Pre-hospital mechanical ventilation, Rapid sequence intubation
Extent68 pages : illustrations
DescriptionPurpose: To evaluate the use of ventilators that were recently placed on the paramedic vehicles for patients in a post-cardiac arrest condition or intubated via rapid sequence intubation.
Methodology: A retrospective chart review for the pre-hospital ventilator use was evaluated at a large suburban healthcare system with a Mobile Health division. The chart review consisted of 150 records of patients older than 18 with documented intubations post-cardiac arrest or via rapidly sequenced intubation from September 2017 to September 2018, along with 119 records of patients who had ventilator use post-intubation from September 2019 to September 2020. Each of the two groups compared data points such as initial oxygen saturation and end-tidal CO2 levels upon Emergency Department arrival, length of stay on the ventilator, length of stay in the hospital, and status upon discharge from the hospital.
Results: 253 charts were reviewed between the two groups, with 140 charts being from the pre-group and 113 charts from the post-group. The average length of stay on a ventilator for the pre-group was 131.9 hours, whereas the post group was 94.5 hours. However, there was no significant statistical difference between the two groups, but there was a decrease in hours on the ventilator for the post-group. Additional comparison was conducted of the initial oxygen saturation upon ED arrival, initial end-tidal CO2 levels upon ED arrival, length of stay, and cost for ICU care.
Implications for Practice: This program evaluation demonstrated a cost-saving for the health system even though there was no significant statistical difference and a decreased average length of stay on the ventilator. The review did identify gaps in the charting, current worldwide events, and even transport times while completing the analysis phase.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-2rvx-4904
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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