Publications by authors named "Susan J McGahn"

Unlabelled: Introduction Inter-facility transport of critically ill patients is associated with a high risk of adverse events, and critical care transport (CCT) teams may spend considerable time at sending institutions preparing patients for transport. The effect of mode of transport and distance to be traveled on on-scene times (OSTs) has not been well-described. Problem Quantification of the time required to package patients and complete CCTs based on mode of transport and distance between facilities is important for hospitals and CCT teams to allocate resources effectively.

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Introduction: We performed this study to quantify resources required by mechanically ventilated patients with hypoxemia after critical care transport (CCT) and to assess short-term clinical outcomes.

Methods: We performed a retrospective review of transports of patients with severe hypoxemic respiratory failure from referring hospitals to 3 tertiary care hospitals to assess the outcomes including in-hospital mortality, ventilator days, intensive care unit length of stay (LOS), hospital LOS, disposition, and reported neurologic status on hospital discharge as well as medical interventions specific to acute respiratory failure and critical care.

Results: Of 230 patients transported with hypoxemic respiratory failure, 152 survived to hospital discharge, for a mortality rate of 34.

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Article Synopsis
  • The study aimed to assess changes in oxygen levels in patients with severe respiratory failure during transport by a critical care team.
  • Researchers reviewed 239 patient transports and found that while the ratio of oxygen in the blood to the oxygen being inhaled (Pao2/Fio2) and overall oxygen pressure (Pao2) improved significantly, the percentage of oxygen saturation (Spo2) remained relatively stable.
  • Despite the positive changes in Pao2 and Pao2/Fio2, over 28% of patients experienced drops in oxygen saturation below 90% while being transported, indicating ongoing risks during transit.
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Introduction: 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.

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