Optimizing Oxygenation in the Mechanically Ventilated Patient

Barton, Glenn; Vanderspank‐Wright, Brandi; Shea, Jacqueline

doi:10.1016/j.cnc.2016.07.003

Cited by 3 publications

(2 citation statements)

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“…Patients with a compromised airway quickly become unstable and run the risk of cardiorespiratory arrest 32 . Recent studies 33 - 34 emphasize the need to evaluate strategies for ventilatory support, because nurses need to have the knowledge, ability and competent clinical reasoning to anticipate, monitor and intervene when any complication arise from ventilatory support 35 . Critical hemodynamic events usually occur along with predictable progressive deterioration, with signs and symptoms anticipated by physiological changes 36 .…”

Section: Introductionmentioning

confidence: 99%

Construction and validation of competency frameworks for the training of nurses in emergencies

Girão

Mazzo

Pereira-Junior

2018

Rev. Latino-Am. Enfermagem

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Objective:to build and validate competency frameworks to be developed in the training of nurses for the care of adult patients in situations of emergency with a focus on airway, breathing and circulation approach. Method:this is a descriptive and methodological study that took place in three phases: the first phase consisted in a literature review and a workshop involving seven experts for the creation of the competency frameworks; in the second phase, 15 experts selected through the Snowball Technique and Delphi Technique participated in the face and content validation, with analysis of the content of the suggestions and calculation of the Content Validation Index to assess the agreement on the representativeness of each item; in the third phase, 13 experts participated in the final agreement of the presented material. Results:the majority of the experts were nurses, with graduation and professional experience in the theme of the study. Competency frameworks were developed and validated for the training of nurses in the airway, breathing and circulation approach. Conclusion:the study made it possible to build and validate competency frameworks. We highlight its originality and potentialities to guide teachers and researchers in an efficient and objective way in the practical development of skills involved in the subject approached.

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Section: Introductionmentioning

confidence: 99%

Construction and validation of competency frameworks for the training of nurses in emergencies

Girão

Mazzo

Pereira-Junior

2018

Rev. Latino-Am. Enfermagem

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“… 5 Hence, one of the most important aspects of care in these patients is airway care, prevention of its complications, and continuous monitoring of oxygenation quality. 6 Regardless of underlying diseases, several factors may impair oxygenation in these patients. Reduced lung compliance that usually occurs due to alveolar disorders such as pneumonia and ARDS, as well as increased airway resistance that usually occurs due to bronchospasm or lesions of upper airways are the main factors of oxygen delivery disorder.…”

Section: Introductionmentioning

confidence: 99%

Effect of Nebulized Eucalyptus on Arterial Blood Gases and Physiologic Indexes of Mechanical Ventilated Patients: A Randomized Clinical Trial

et al. 2022

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Introduction: Arterial hypoxia is one of the most common findings in critically ill patients. Inhaled medications in ventilated patients can reduce airway resistance, facilitate dilution, and prevent airway infections. This study aimed to examine the effects of nebulized Eucalyptus on arterial blood gases and physiologic indexes of patients receiving mechanical ventilation (MV). Methods: The current randomized clinical trial was performed in three Intensive Care Units (ICUs) of Al-Zahra Hospital in Isfahan, Iran. Using purposive sampling method, 70 intubated patients were selected and randomly divided into Nebulized Eucalyptus (NE) (n=35) and control (n=35) groups. NE group received 4 ml (5%) Eucalyptus in 6 ml normal saline (NS) every 8 h since intubation to 3 days by a nebulizer. Control group received 10 ml NS in the same way. Glasgow Coma Scale (GCS) and Arterial Blood Gases (ABG) parameters (PH, BE, Hco3, Pco2, Sao2, and Pao2), and the Peak Inspiratory Pressure (PIP) and Tidal Volume (TV) were equally assessed in both intervention and control groups. Data were analyzed using SPSS software version 13. Results: There was no significant difference between the patients of both groups in terms of vital signs (blood pressure, temperature, respiratory rate, and pulse rate), GCS, PH, BE, Hco3, Pco2, Sao2, Pao2, PIP, and TV before the study. Amongst the parameters of ABG, there was a significant difference between Pao2 and Sao2 and PIP in the intervention and control groups 3 days after intervention. Conclusion: Inhaled Eucalyptus can improve oxygenation and reduce airway pressure in patients undergoing MV.

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