The Complexities of Aeronautical Transfer of Acutely Unwell Neurosurgical Patients
Küçük Resim Yok
Tarih
2025
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Inc.
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: Neurosurgical care is difficult to access in many scenarios. Aeromedical evacuation of acutely unwell neurosurgical patients from remote, isolated, or poorly equipped locations can be considered. This article aims to provide a framework of logistical factors that deserve special consideration in the preparation of these patients for transfer. Methods: We searched all relevant medical literature, military reports, and travel industry documents on transfer of neurosurgical patients. This review was combined with a senior author's (M.J.) extensive relevant experience, to present important factors for neurosurgeons to consider during planning of aeromedical evacuation, highlighting potential preventable causes of deterioration en route. Results: Several criteria must be met for a transfer to be considered. The safe transfer of patients with craniospinal pathology requires efficient collaboration between the referring teams, the receiving units/departments, and the medical transfer service. Clear communication, qualified personnel, and appropriate transportation equipment must be available for the transfer. One must consider unique stressors during the air transfer, including the risk of hypoxia on certain types of flights. Vibration, loud noise, acceleration, and changes in barometric pressure en route may negatively affect the patient during transfer. Patient stabilization before transfer is a priority. Medical conditions that can potentially worsen in-flight should be corrected before transfer. The use of a checklist before departure is highly recommended and is included herein. The timing of transfer concerning the postoperative patient deserves special consideration. Conclusions: Although there is little published information, this review provides useful criteria and parameters needed for safe aeromedical evacuation of neurosurgical patients. © 2025 The Authors
Açıklama
Anahtar Kelimeler
Aeromedical Evacuation, Aeronautical Transfer, Craniospinal Pathologies, Equipment, Flight Stressors, Logistics, Neurosurgery
Kaynak
World Neurosurgery
WoS Q Değeri
Scopus Q Değeri
Q1
Cilt
195
Sayı
Künye
Tasiou, A., Tzerefos, C., Karagianni, M., Tsianaka, E., Jarratt, M., Gazioğlu, N., ... & Murphy, M. (2025). The complexities of aeronautical transfer of acutely unwell neurosurgical patients.
