The Effect Of Closedendotracheal Suctioning Systems On Mechanical Ventilator Performance

It has been repeatedly stated that oral care is important in the prevention of ventilator-associated pneumonia (VAP). Endotracheal intubation predisposes patients to developing VAP. The tube acts as a conduit from the mouth to the lungs – a perfect track for bacteria to descend upon. Khezeri, et al. (2014) suggest that “the presence of an endotracheal tube (ETT) inhibits normal coughing, normal swallowing, and the protection of the trachea contact by epiglottis closure.” In addition, an endotracheal tube keeps the patients mouth open – leading to dryness. Bacteria are not washed away by saliva. Also, Landgraf, et al. (2017) mention that the presence of an endotracheal tube in the mouth causes “changes in the oral epithelium” which “might indicate risk for infection in intensive care patients

The profession of nursing has, in recent years, been trying to further develop, test and use proposed nursing theory. To utilize theory appropriately, in all domains of practice, education and research, it is important to know how to describe, analyze and evaluate

The purpose of this document is a critical study and analysis of the oral care provided by nursing staff as part of the Ventilator Care Bundle (VCB) and to assess whether the frequency of mouth care performed is related to the prevention of Ventilator Associated Pneumonia (VAP) in patients mechanically ventilated (Zilberberg et al. 2009).

1. Comprehensive Nursing Care, Revised 2nd Edition. (2012). Ramont, Reberta P.; Niedringhaus, Dolores M.; Towle, Mary A.

A required section of the Registered Nurse (RN) to Bachelors of Science in Nursing (BSN) program at Ferris State University

Cherry, B. & Jacob, S. (2011). Contemporary Nursing: Issues, Trends, and Management 5th Edition. St. Louis, MS. Mosby Inc.

In this week’s Assignment, you will draft a formal paper expressing your personal philosophy of nursing. In this paper, you will provide a framework for your personal practice of nursing and reflect on why you chose nursing as a profession. Your paper will define how you interact with patients, family members, other nurses, and other health care professionals. Since this is your first formal paper for the program, be sure to use the resources

One of the most important things to maintain a trauma patients airway is ensuring that you have adequate help around (Stephens, 2011). This is important because there are many different tasks that must be delegated in maintaining this persons airway. Some of these processes include opening the airway, suctioning the airway, inserting the proper adjunct, and maintaining

Jennifer C. Telford, P. A.-B. (n.d.). A Brief History of Professional Nursing in the United States. In J. C. Elizabeth Friberg, Conceptual Foundations: The Bridge to Professional Nursing Practice 6th Edition.

Instilling normal saline solution before endotracheal suctioning improves oxygenation, facilitates removal of secretions, and stimulates coughing to mobilize secretions. Is this to be considered evidence practice? Suctioning is one of the main procedures used by respiratory therapist and nurses in the acute care and home health to help patients who require the use of a ventilator. According to the literature there is little research supporting the practice of instilling normal saline prior to suctioning. In contrast, studies have revealed this practice is more dangerous because it increases the risk of ventilator associated pneumonia. (Miller, Drummond, & Carey, 2015). This type of pneumonia occurs when bacteria is present in the saline vials. The evidence based practice of sacred cow proposes this practice of saline instillation prior to suctioning a patient prior to intubation should not be done.

In this module’s Assignment, you will draft a formal paper expressing your personal philosophy of nursing paper. In this paper, you will provide a framework for your personal practice of nursing and reflect on why you chose nursing as a profession. Your paper will define how you interact with patients, family members, other nurses, and other health care professionals.

From investigation in health practices, ventilator associated pneumonia caught my attention. “Ventilator Associated Pneumonia (VAP) is a leading cause of morbidity and mortality in intensive care units. Most episodes of VAP are thought to develop from the aspiration of oropharyngeal secretions containing potentially pathogenic organisms. Aspiration of gastric secretions may also contribute, though likely a lesser degree. Tracheal intubation interrupts the body’s anatomic and physiologic defenses against aspiration, making mechanical ventilation a major risk for Ventilator Associated Pneumonia. Semi-recumbent positioning of mechanically ventilated patients may help reduce the incidence of gastroesophageal reflux and lead to a decreased incidence of VAP. The one randomized trial to date of semi- recumbent positioning shows it to be an effective method of reducing VAP. Immobility in critically ill patients leads to atelectasis and decreased clearance of bronchopulmonary secretions. The accumulation of contaminated oropharyngeal secretions above the endotracheal tube cuff may contribute to the risk of aspiration. Removing these

Most patients undergoing general anesthesia for surgical procedures require mechanical ventilation. One of the biggest challenges facing clinicians providing mechanical ventilatory support today is managing the balance between providing adequate gas exchange and avoiding lung injury associated with positive pressure ventilation. Patients with respiratory failure need adequate tissue oxygenation and acid-base balance; however, the lungs are fragile structures that can be injured by over-distension, alveolar collapse and reopening, and high oxygen exposure. This challenge in providing “lung protective ventilation” is made more difficult by the fact that lung injury is often heterogeneous and thus what may benefit gas exchange in one region (e.g., higher pressure) may worsen injury in another.

Comparison of Univent tube and double-lumen endotracheal tube used for one-lung ventilation--《The Journal of Practical Medicine》2009年12期 [Internet]. En.cnki.com.cn. 2017 [cited 8 March 2017]. Available from: http://en.cnki.com.cn/Article_en/CJFDTOTAL-SYYZ200912025.htm

All patients were intubated in the 1st attempt except one patient in C-MAC D-blade group need 2 intubation attempts. There were no significant differences between the 3 groups regarding number of successful trial, success rate, and manipulation used to improve vocal cord visualization or intubation. Sore throat grade was significantly high in group 1 as compared to the other 2 groups. Lowest Oxygen saturation was significantly lower in group 3 as compared to the other 2 groups. Mean arterial blood pressure and heart rate measured at 1 minute and 3 minutes after intubation were significantly high in group 1 as compared to group 2 and