The Complexities of Aeronautical Transfer of Acutely Unwell Neurosurgical Patients

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dc.authorscopusidNurperi Gazioğlu / 6601973313
dc.authorwosidNurperi Gazioğlu / LPX-2336-2024
dc.contributor.authorTasiou, Anastasia
dc.contributor.authorTzerefos, Christos
dc.contributor.authorKaragianni, Maria
dc.contributor.authorTsianaka, Eleni
dc.contributor.authorJarratt, Mark
dc.contributor.authorGazioğlu, Nurperi
dc.contributor.authorPeramatzis, Konstantinos
dc.contributor.authorBroekman, Marike LD.
dc.contributor.authorRodríguez-Hernández, Ana
dc.contributor.authorIvan, Daniela L.
dc.contributor.authorJanssen, Insa K.
dc.contributor.authorKarampouga, Maria
dc.date.accessioned2025-04-18T09:45:18Z
dc.date.available2025-04-18T09:45:18Z
dc.date.issued2025
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractObjective: 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
dc.identifier.citationTasiou, A., Tzerefos, C., Karagianni, M., Tsianaka, E., Jarratt, M., Gazioğlu, N., ... & Murphy, M. (2025). The complexities of aeronautical transfer of acutely unwell neurosurgical patients.
dc.identifier.doi10.1016/j.wneu.2025.123692
dc.identifier.issn18788750
dc.identifier.pmid39827952
dc.identifier.scopus2-s2.0-85217018945
dc.identifier.scopusqualityQ1
dc.identifier.urihttp://dx.doi.org/10.1016/j.wneu.2025.123692
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6849
dc.identifier.volume195
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGazioğlu, Nurperi
dc.institutionauthoridNurperi Gazioğlu / 0000-0001-7785-8628
dc.language.isoen
dc.publisherElsevier Inc.
dc.relation.ispartofWorld Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAeromedical Evacuation
dc.subjectAeronautical Transfer
dc.subjectCraniospinal Pathologies
dc.subjectEquipment
dc.subjectFlight Stressors
dc.subjectLogistics
dc.subjectNeurosurgery
dc.titleThe Complexities of Aeronautical Transfer of Acutely Unwell Neurosurgical Patients
dc.typeArticle

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