Application Of Optimizing Analgesia And Sedation Strategies In Patients With Severe Trauma During Interhospital Transportation

ObjectiveTo assess optimizing analgesia and sedation strategies on the occurrence of adverse events,safety,success rate and prognosis of disease in the course of interhospital transport in patients with severe trauma transferred with well-trained and richly experienced medical personnel in ICU.Methods72 cases admitted from Jan.2016 to Dec.2016 were selected as Group ? without optimized analgesia and sedation strategies and well-trained medical personnel.65 cases registered as Group ? with optimized analgesia and sedation strategies and well-trained-medical personnel admitted from Jan.2017 to Dec.2017.Clinical features,adverse events,critical illness scores on arrival of transport,success rates of transfer and prognosis were compared between two groups.We used SPSS20.0 software for statistical analysis.Result137sever trauma patients were collected with 116 males(84.6%)and 21 females(15.4%).The mean age of the cohort was 42.8±14.2 years.There were no significant differences between the two groups regarding age,gender,transport distance,transit time,mechanical ventilation ratio,APACHE ? score,SOFA score andISS score before transport.Outcomes of the two groups were described as following:1.The adverse events in group ? and ? were 13.89%(10/72)and 3.08%(2/65),respectively,with statistically significant difference(P<0.05).2.After the transport,both APACHE ? score and SOFA score in group ? were significantly higher than those in group ?(P<0.05),which were as following:APACHE ?:25.45±5.985 in group ? and 21.88±3.080 in group ?,SOFA:11.79±2.600 in group ? and 10.43±1.000 in group ?.3.There was a statistically significant difference of success rate of transfer(P<0.05)in group ?(90.27%)compared with that in group ?(100%).However,the recovery and improvement rates were 61.11%and 72.31 in group ? and ?,respectively,with no significant difference(P>0.05).ConclusionThe application of optimizing analgesia and sedation strategies,intensively trained and richly experienced medical personnel for the purpose of transfer in ICU has better effects on interhospital transport of severe trauma patients,with adverse events and tatality rates reduced;safety and success rate improved.