Buonora Maj John E
is an active-duty Army Nurse Corps Officer and U.S. Army Graduate Program in Anesthesia Nursing (USAGPAN) Phase II director at Madigan Army Medical Center, Tacoma, Washington. MAJ Buonora deployed with the 541st Forward Surgical Team (Airborne) in support of Operation Inherent Resolve-Syria in 2017.
AANA J. 2019 Feb;87(1):65-70.
The US Army's 541st Forward Surgical Team (FST) deployed in support of Operation Inherent Resolve- Syria in 2017. Throughout the deployment the 541st FST provided surgical and anesthesia services to US, coalition, and partner forces in numerous austere environments. Following an enemy attack, the FST received multiple casualties and provided a total of 7 critical medication infusions to 3 patients without the aid of electronic-controlled intravenous (IV) infusion pumps or syringes for 10 hours while the wounded soldiers waited for evacuation to a higher level of care. The team administered propofol, norepinephrine, tranexamic acid, and ketamine by individual gravity infusions relying solely on counting drops. An infusion rate monitor (DripAssist, Shift Labs Inc) was used to assist in initial IV rate setup and maintenance. The medics and nurses of the 541st FST found that the infusion rate monitor improved the speed of setting the IV infusion rate, drop counting accuracy, and the team's ability to monitor the continuous delivery of gravity IV infusions.
美国陆军第541前方外科手术队（FST）于2017年部署，以支持“坚定决心行动”——叙利亚行动。在整个部署期间，第541前方外科手术队在众多艰苦环境中为美军、联军及伙伴部队提供外科手术和麻醉服务。在一次敌方袭击后，前方外科手术队接收了多名伤员，在受伤士兵等待撤离到更高水平医疗救治的10个小时里，在没有电子控制静脉（IV）输液泵或注射器的情况下，总共为3名患者进行了7次关键药物输注。该团队通过仅依靠计算滴数的个体重力输注方式给予丙泊酚、去甲肾上腺素、氨甲环酸和氯胺酮。使用了一种输液速率监测器（DripAssist，Shift Labs公司）来协助初始静脉输液速率的设置和维持。第541前方外科手术队的医护人员发现，输液速率监测器提高了设置静脉输液速率的速度、滴数计数的准确性以及该团队监测重力静脉输液持续输送的能力。
