Hygiena 2010, 55(4):124-129

Transport Isolator with a Closed System of Ventilation for the Transportation of Patients with Highly Virulent Infection

Radek Bárta1, Peter Bednarčík2
1 Rokycanská nemocnice, a. s., Anesteziologicko-resuscitační odd., Rokycany
2 Univerzita obrany, Fakulta vojenského zdravotnictví, Hradec Králové

The transport isolator is used for the isolation and transportation of a patient with highly virulent infection. It must ensure transport team safety and complete isolation of the infected patient from the surrounding environment. A successful outcome of the transportation depends on the availability of a transport isolator that enables the maintenance of vital functions and safe in-transport care. Transport isolators with an open system of ventilation using HEPA filters have been developed, having an air flow of about 120 litres per minute. Nevertheless, a HEPA filter cannot fully cope with a large air exchange and poses a risk of the infectious agent escaping outside the isolator. Therefore, a completely closed system of ventilation for a transport isolator has been designed and tested: it provides a range of benefits to the patient and increases transport team safety. The system enables closed air ventilation with oxygen supply and carbon dioxide absorption in soda lime and provides micro-climate control options. It reliably meets physiological and safety requirements. When tested, the system proved effective in maintaining vital functions in a matter of hours.

Keywords: transport isolator, patients with highly virulent infection, closed system of ventilation

Received: July 2010; Accepted: August 19, 2010; Published: December 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Bárta R, Bednarčík P. Transport Isolator with a Closed System of Ventilation for the Transportation of Patients with Highly Virulent Infection. Hygiena. 2010;55(4):124-129.
Download citation

References

  1. Dunn KH, Bulgajewski PJ. Initial accomplishments of the Environmental Control and Life Support System (ECLSS) atmosphere revitalization (AR) predevelopment operational system test (POST) for the Space Station Freedom (SSF). SAE Technical Paper Series No. 921186. In: 22nd International Conference on Environmental Systems; 1992 Jul 13-16; Seattle (WA). Huntsville: Marshall Space Flight Center; 1992. Go to original source...
  2. EGO Zlín spol. s r.o. Návod k použití BIOVAK EBV-30 [firemní materiály]. Zlín: EGO Zlín; 2010.
  3. Christopher GW, Eitzen EM Jr. Air evacuation under highlevel biosafety containment: the aeromedical isolation team. Emerg Infect Dis. 1999 Mar-Apr;5(2):241-6. Go to original source... Go to PubMed...
  4. Langevin PB, Rand KH, Layon AJ. The potential for dissemination of Mycobacterium tuberculosis through the anesthesia breathing circuit. Chest. 1999 Apr;115(4);1107-14. Go to original source... Go to PubMed...
  5. Larsen R. Anestezie. 2. české vyd. Praha: Grada; 2004.
  6. Mutlu GM, Budinger GR. Not much turbulence: addition of heliox to noninvasive ventilation fails to improve outcomes in patients with exacerbations of chronic obstructive pulmonary disease. Crit Care Med. 2010 Jan;38(1):319-20. Go to original source... Go to PubMed...
  7. Prymula R, a kol. Biologický a chemický terorismus: informace pro každého. Praha: Grada; 2002.
  8. Roe JA, Smith D. Filtration and infection control [Internet]. Port Washington (NY): Pall Corporation [cited 2010 Aug 18]. Available from: http://www.pall.com/medical_6472.asp.
  9. Trexler PC, Emond RT, Evans B. Negative-pressure plastic isolator for patients with dangerous infections. Br Med J. 1977 Aug 27;2(6086):559-61. Go to original source...
  10. Zákon č. 478 ze dne 24. září 1992 o užitných vzorech. Sbírka zákonů ČR. 1992;částka 96:2762-6. 10. Úřad průmyslového vlastnictví [online]. Praha: Úřad průmyslového vlastnictví [cit. 2010-8-18]. Dostupný z: http://www. upv.cz.