High Flow Oxygen Therapy

ICU patients suffer from a broad range of pathologies, requiring MV, sedation and use of multiples devices, which do not allow patients to protect their airway (Augustyn. 2007; Kollef. 2004).

Oxygen can be a comforting, life sustaining treatment and a potent killer. As one of three components of the fire triangle (heat, fuel, and oxygen), it has the potential to cause great injury and even death in those who ignore the risks and fail to follow safety guidelines. The Joint Commission has identified the risk of medical oxygen home fires as serious enough to include it as the 2015 National Patient Safety Goal (NPSG) 15.02.01. It states a home care organization must “Identify patient safety areas: Find out if there are any risks for patients who are getting oxygen. For example, fires in the patient’s home.” (The Joint Commission, 2015). This work is a review of available literature on the issue, its link to nursing administration, the significance to quality and safe nursing practice, as well as potential opportunities for improvement and recommendations for strategies to improve the safety of patients, families, and nursing staff. According to 2003 – 2006 data from the Consumer Product Safety Commission’s National Injury Surveillance System, medical oxygen in the home was a factor in and average of 1,190 thermal burns seen annually in U.S. emergency rooms (Galligan, et al., 2015). Smoking is the leading cause in these incidents and several studies suggest that the incidence of burn

Even though the consequence of saline instillation on a ventilator patient in the acute care setting is pneumonia or the patient may become hemodynamically unstable, this practice remain contentious, the practice of this procedure will also decrease the oxygenation. (Ayhan, et al., 2015),

After the onset of hypovolemic shock, the primary goals are to replace blood and fluid volume via IV infusion; maximization of oxygen delivery, and minimization of oxygen demand. Patient is positioned in a manner that supports maximal circulation and airway patency (oxygenation, ventilation, and perfusion). Diligent treatment of fever, fear and pain are necessary to reduce oxygen demand. Humidified supplementary oxygen is given as needed at up to 10 to 15 L/min by non-rebreathing mask or bag-mask ventilation and is monitored continuously through pulse oximetry (McCance, 2010. pp

Utilizing both illustrations and definitions in an informative essay about Hyperbaric Oxygen Therapy (HBOT) would be extremely beneficial to both the writer and reader. Illustrations would provide a visual reference to what the writer is describing, this would eliminate reader confusion or miscommunication. An illustration, or visual reference, of a hyperbaric recompression chamber would remove the need for the reader to rely on interpretation of the text to create a mental picture. Illustrations can provide a more thorough understanding of the physiological effects of HBOT, as well as provide clarity to complex ideas and treatment procedures. People have various learning methods, while some learn more information through reading, others may

The purpose of this study was to investigate and determine whether saline instillation for bronchial hygiene was beneficial or harmful to the patients and to provide evidence-based guidelines to be followed by healthcare providers in the intensive care units.

Miracle Home Oxygen (MHO) has introduced their new home-based portable Oxygen Cylinder filling device, Miracle Home Oxygen Machine (MHOM), as disruptive technology designed to address significant structural challenges in the Home Oxygen market. Medicare reimbursements have begun to contract due to recent budget cuts, with additional drops widely expected. The current prevailing delivery method for Medical Equipment dealers to their home oxygen patients, regularly scheduled deliveries of filled O2 cylinders, is comparatively costly and inefficient (and arguably, unsustainable). For example, the traditional delivery method incurs significant labor costs for the drivers necessary to deliver the O2 cylinders, as well as sizable capital expenses in the purchase and maintenance of delivery vehicles, fuel, and to a lesser extent, oxygen cylinders. Moreover, these costs are projected to increase (most notably, gas prices / vehicle expenses, as well as employee benefits / health care expenses for drivers.) The new model based on serving home oxygen patients exclusively with MHO equipment, providing an unlimited supply of portable oxygen, utilizing the refillable cylinders with filling station, was estimated by MHO to be 50-67% less expensive than the current delivery model employed by their independent dealer target market. As a result of these seemingly compelling economics for the O2 / Medical Equipment Dealers, MHO anticipated that their proprietary new technology would immediately capture a significant share of the portable home oxygen market. MHO's Sales Manager infamously remarked “our

Also providing moisturizing measures, keep the patient’s head of bed elevated thirty to forty-five degrees to prevent the risk of aspiration unless the patient has another condition where this would be contraindicated. Finally, it is very important to wash hands thoroughly before and after touching ventilator tubing. It is also important to assess your patient’s breathing on a regular basis, if your patient is able to breath on their own, then they may be able to be taken off of mechanical ventilation. All of these are very simple nursing interventions that should be implemented consistently in order to provide the best possible care for these

Aerogen solo mesh nebulizer (SOLO) was compared to Sidestream jet nebulizer (SIDE) when placed in non-invasive ventilation circuit (NIV) at 3 different dose volumes (1, 2, 4ml using 1ml respirable solution containing 5000μg salbutamol) and 3 different heat and humidification conditions (no heat and no humidification (NN), humidification with no heat (HN) and heat with humidification (HH)) using 2ml respirable solution containing 10000μg salbutamol.

The primary function of upper airway is to exchange heat and moisture. The ISB (isothermic saturation boundary) is the point that divides the airway by temperature which is constant below this point and is variable during inhalation and exhalation above this point. The shifts of the ISB can provide the proper heat and moisture in the upper airway to meet the needs in the lower airway. Without providing the correct heat moisture exchange between the upper and lower airway can lead to serious problems within the lungs. Humidification of dry medical gases which are administrated by inhaling is very important to keep the lower airway in a normal physiology condition; therefore, the proper heat and humidity helps maintain the normal function of the mucociliary transport system. Humidity therapy is also used to manage hypothermia and treat bronchospasm caused by cold air. Bland Aerosol Therapy involves the delivery of sterile water or saline aerosols by using large volume jet nebulizers and ultrasonic nebulizers to treat upper airway edema, provide proper heat and humidity in patients with tracheal airway, and help obtain sputum

Living beings need oxygen for survival, the body needs oxygen to perform anything from breathing to activities of daily living. Unfortunately patients that are diagnosed with COPD, their ability to breathe normally is significantly reduced therefore needing supplemental oxygen.

Doctors who prescribe medical oxygen should take into account potential hazards when used in the home and that these hazards must be managed to ensure the safety of all concerned. We must assess the patient's ability, and the home environment to initiate medical oxygen in the community. This assessment should ensure the safe storage of equipment and ensure that the patient or caregiver can administer oxygen therapy at home. This includes an understanding of equipment operation and the ability to handle shut-off valves, flow meters, and other controls.4

After a review of the clinical information provided by Hampton Homecare Incorporated, the Medical Director has determined that Continuous Positive Air Pressure Device (midair pressure to keep airway open), Humidifier (add cool or warm moist air to passages to keep from drying out), and face mask (mask covers mouth and nose and delivers moist air) is not medically necessary. Based on the InterQual guideline criteria (a decision based program to determine medical need) for a Continuous Positive Air Pressure Device (midair pressure to keep airway open), the clinical guidelines were not met because there was no proper mask fitting or selection and appropriate pressure settings. You have not used a continuous positive airway pressure device for

The intensive care unit provides patients with continuous and comprehensive care. This care should be safe and suitable for healing. However, especially in the ICU, the nosocomial infection is a common clinical problem in which nurses must consider the patient’s safety and be able to prevent these high incidences from occurring. The patient with airway infection can develop ventilator-associated pneumonia (VAP) after 48h of mechanical ventilation. This is usually caused by leakage of contaminated oropharyngeal secretions and aspiration around the endotracheal tube cuff and into the lung. VAP is the most common nosocomial infection in critically care ill patients and in patients receiving mechanical ventilation (Korhan, Yönt, Kılıç, & Uzelli, 2013). The second most common nosocomial infection in PICU, which is linked to increase mortality, morbidity, and lengths of stay in ICU and hospitals (Cooper & Haut, 2013; Nemat & Habibi, 2014). Major efforts to prevent VAP are to focus on the aspects of care, evaluate the knowledge levels of critical care nurses and the effectiveness of certain intervention and prevention strategies that reduce the risk for VAP. The true major efforts to prevent VAP are the use of use of oral health care program, re-intubating patients, suctioning, and bed elevation (Cooper & Haut, 2013; Liao, Tsai, & Chou, 2014; Nemat & Habibi, 2014). The purpose of this literature review is to identify the best preventions protocol to reduce the risk and

This patient is not is need of oxygen at this time. As noted by Woo and Wynne (2012), administration of supplemental oxygen is done in the presence of hypoxemia to avoid organ damage (pg. 1016). This patient has reported shortness of breath, however the objective assessment reveals a respiratory rate of twenty and no use of accessory muscles or retractions.