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Medication Administration in Critical Care Transport of Adult Patients with Hypoxemic Respiratory Failure

Wilcox, Susan R. ; Saia, Mark S. ; Waden, Heather ; McGahn, Susan J. ; Frakes, Michael ; Wedel, Suzanne K. ; Richards, Jeremy B.

Prehospital and disaster medicine, 2015-08, Vol.30 (4), p.431-435 [Peer Reviewed Journal]

New York, USA: Cambridge University Press

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Title:
Medication Administration in Critical Care Transport of Adult Patients with Hypoxemic Respiratory Failure
Author: Wilcox, Susan R. ; Saia, Mark S. ; Waden, Heather ; McGahn, Susan J. ; Frakes, Michael ; Wedel, Suzanne K. ; Richards, Jeremy B.
Subjects: Administration, Inhalation ; Administration, Rectal ; Adult ; Adults ; Aged ; Air Ambulances ; Ambulances ; Brief Report ; Critical Care ; Drug therapy ; Drug Therapy - statistics & numerical data ; Emergency Medical Services ; Female ; Health technology assessment ; Humans ; Hypoxia - drug therapy ; Hypoxia - therapy ; Infusions, Intravenous ; Injections, Intravenous ; Male ; Middle Aged ; Patient Care Team ; Patient Transfer ; Patients ; Pharmaceutical Preparations - administration & dosage ; Respiratory diseases ; Respiratory Insufficiency - drug therapy ; Respiratory Insufficiency - therapy ; Retrospective Studies
Is Part Of: Prehospital and disaster medicine, 2015-08, Vol.30 (4), p.431-435
Notes: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Description: Critical care transport (CCT) teams must manage a wide array of medications before and during transport. Appreciating the medications required for transport impacts formulary development as well as staff education and training. Problem As there are few data describing the patterns of medication administration, this study quantifies medication administrations and patterns in a series of adult CCTs. This was a retrospective review of medication administration during CCTs of patients with severe hypoxemic respiratory failure from October 2009 through December 2012 from referring hospitals to three tertiary care hospitals. Two hundred thirty-nine charts were identified for review. Medications were administered by the CCT team to 98.7% of these patients, with only three patients not receiving any medications from the team. Fifty-nine medications were administered in total with 996 instances of administration. Fifteen drugs were each administered to only one patient. The mean number of medications per patient was 4.2 (SD=1.8) with a mean of 1.9 (SD=1.1) drug infusions per patient. These results demonstrate that, even within a relatively homogeneous population of patients transferred with hypoxemic respiratory failure, a wide range of medications were administered. The CCT teams frequently initiated, titrated, and discontinued continuous infusions, in addition to providing numerous doses of bolused medications.
Publisher: New York, USA: Cambridge University Press
Language: English

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Medication Administration in Critical Care Transport of Adult Patients with Hypoxemic Respiratory Failure

Wilcox, Susan R. ; Saia, Mark S. ; Waden, Heather ; McGahn, Susan J. ; Frakes, Michael ; Wedel, Suzanne K. ; Richards, Jeremy B.

New York, USA: Cambridge University Press

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