Overview of Mechanical Ventilatory Support and Management of Patient- and Ventilator-Related Responses

Abstract

Nurses must be knowledgeable about the function and limitations of ventilator modes, causes of respiratory distress and dyssynchrony with the ventilator, and appropriate management in order to provide high-quality patient-centered care. Prompt recognition of problems and action by the nurse may resolve acute respiratory distress, dyspnea, and increased work of breathing and prevent adverse events. This article presents an overview of mechanical ventilation modes and the assessment and management of dyspnea and patient-ventilator dyssynchrony. Strategies to manage patients’ responses to mechanical ventilatory support and recommendations for staff education also are presented.

Differential Diagnosis of High Peak Airway Pressures

“…These conditions include pulmonary edema, acute respiratory distress syndrome, pulmonary fibrosis, abdominal distention, pneumothorax, atelectasis, and right mainstem intubation. 5,8,9 Lastly, if the physical examination reveals no issues with the patient, the ventilator and circuit should be assessed.…”

Simulation of Mathematical Model for Lung and Mechanical Ventilation

“…There are a two-type volume controlled ventilator (VCV) and a pressure controlled ventilator (PCV). Both types deliver and control flow, pressure and volume of air and medical gases to patients' lungs [1]. Mathematical models (MMs) represent the supporting process by ventilators and the respiratory system.…”

“…Moreover, it companions other parameters which have effects on the mechanical ventilation control such as positive end expiration pressure (PEEP) [6,7].…”

Patientensymptome kritisch hinterfragen

“…Intensivfachp egekräfte und -ärzte interpretieren es oftmals als Leiden, wenn ein Patient die Zunge bewegt und damit auch den Tubus [17] oder auf den Tubus beißen bzw. husten [2].…”