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Critical care transfer (sedation and access) — DIPIMC MCQ

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HardRetrieval and TransportCritical care transfer (sedation and access)DIPIMCDipIMC

An intubated patient requires a long road transfer and is receiving continuous sedation and analgesia. Which preparation best reduces awareness and line-failure risk?

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Correct answer: B — Secure infusions, provide backup access and continue monitoring

The best answer is “Secure infusions, provide backup access and continue monitoring”. A critically ill intubated patient needs adequate ongoing analgesia and sedation, securely mounted pumps and tubing, reliable vascular access with a contingency route, sufficient drugs and uninterrupted monitoring. Transfer vibration and restricted patient access magnify small failures. Movement-triggered bolusing risks awareness and haemodynamic swings, while stopping infusions or reducing monitoring creates avoidable periods of unsafe care.

Reference: NHS England, Adult Critical Care Transfer services: https://www.england.nhs.uk/publication/adult-critical-care-transfer-services/