Wilcox Susan R, Saia Mark S, Waden Heather, McGahn Susan J, Frakes Michael, Wedel Suzanne K, Richards Jeremy B
Prehosp Disaster Med. 2015 Aug;30(4):431-5. doi: 10.1017/S1049023X1500494X.
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.
重症监护转运（CCT）团队在转运前和转运过程中必须管理大量药物。了解转运所需的药物会影响处方集的制定以及工作人员的教育和培训。问题：由于描述药物使用模式的数据很少，本研究对一系列成人CCT中的药物使用情况和模式进行了量化。
这是一项对2009年10月至2012年12月期间从转诊医院转至三家三级护理医院的严重低氧性呼吸衰竭患者的CCT期间药物使用情况的回顾性研究。
共识别出239份病历进行审查。CCT团队为其中98.7%的患者使用了药物，只有三名患者未接受该团队的任何药物治疗。总共使用了59种药物，给药996次。15种药物仅用于一名患者。每位患者使用的药物平均数量为4.2（标准差=1.8），每位患者的药物输注平均次数为1.9（标准差=1.1）。
这些结果表明，即使在因低氧性呼吸衰竭而转运的相对同质的患者群体中，也使用了广泛的药物。CCT团队除了提供大量推注药物剂量外，还经常启动、调整和停止持续输注。
