The Effects Of Life Support Technology On Nursing Practice

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).

Managing complex ventilator patients require critical thinking to solve problems pertaining to ventilator issues. Even though I am a certified ventilator paramedic, ventilator management is managed an respiratory therapist. Having the ventilator certification was useful in which I was able to apply my knowledge to

The nature of the study recommended in the paper was to assess the effects of protocolized weaning from mechanical ventilation on the total duration of mechanical ventilation for critically ill adults and ascertain differences between protocolized and non-protocolized weaning in terms of adverse events, mortality, quality of life, weaning duration, intensive care unit (ICU) and hospital length of stay (LOS) and explore the variation in outcomes by the type of ICU, type of protocol and approach to delivering the protocol.

Schweickert, W.D., et al., Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet (London, England), 2009. 373(9678): p. 1874-1882.

Mechanical ventilation is any method by which physical devices or machines assist or replace spontaneous breathing. It is indicated when there is ineffective gas exchange in the lungs or the patient’s spontaneous ventilation is inadequate. Mechanical ventilation can be classified into negative and positive pressure ventilation. Mechanical ventilation may also be classified as invasive or non-invasive.

Children who may not live without the ventilator, go through the procedure of artificial airways and are very unstable, therefore patients have no choice of provider or hospital.

They can range from advanced airway management including endotracheal intubation, management of patients with head injuries, insertion of intra osseous cannula for medication and fluid resuscitation in paediatric patients with no other competent intravenous access, complicated chest injuries such as pneumothorax requiring the insertion of a chest tube, to the advanced management of cardiac conditions including external cardiac pacing and synchronised cardioversion, or paralysing a patient for the intubation of the lungs [13]. Intensive care paramedics can also have access to and distribute medications relevant to the situations and the roles

Ventilator Associated Pneumonia, also referred to as the VAP is a kind of the hospital acquired pneumonia which means that patients acquire it during their stay at the hospital. This is the pneumonia that develops within a time period of 48 hours after mechanical ventilation is started in the patient with the use of tracheal intubation. Apart from the lung damage that this disease may cause, this condition causes the duration of the mechanical ventilation to be prolonged and thus the time for which the patient has to stay in the ICU is also increased along with the economic cost. Reports have also included that VAP has been associated with an increase in the mortality rate of the patients who are admitted to the ICU by as much as 30 to 70 percent. (George, 1995) Therefore, it is the need of time to prevent the development of this

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

A randomized single blinded placebo-controlled trial was used to conduct this study. 50 mechanically ventilated patients were randomly assigned to either the intervention or control groups where the investigator was blinded to treatment allocation. Randomization was performed using sealed envelope technique

Mechanically ventilated patients are increasingly at the risk of acquiring Ventilator-associated pneumonia (VAP) which is the leading infectious complication, affecting from 8% to 28% of patients admitted in the intensive care units. Morbidity and mortality associated with the development of VAP is high, with mortality rates ranging from 20 to 41%.Development of VAP increases ventilator days, critical care and hospital lengths of stay. Essential airway management is one of the important interventions to prevent ventilator associated pneumonia. Manual Hyperinflation (MH) enhances clearance of airway secretions and thereby improved lung compliance, reduced inspiratory resistance, improved V/Q matching, cleared airway and re-expanding the collapsed alveoli. MH could resemble a forceful cough, with which, sputum could propagate from distal to more proximal areas that is, from the smaller airways toward the larger airways, where it can be easily removed through endotracheal suctioning. Hence MH followed by suctioning is considered to be a suitable intervention to prevent VAP among intubated and mechanically ventilated patients.

The article explained the important of intubated patient placed on ventilator because of the respiratory drive cannot initiate ventilatory activity because of disease or drugs. Also, explain the significant of removing patient from ventilator after showing the improvement. Unnecessary delay in withdrawing mechanical ventilation will increase the complication such as pneumonia, discomfort, and ventilator induced lung injury, and increases cost. It is necessary to check patient condition before removing from ventilator in order to avoid the risk of premature withdrawal, which include difficulty ventilator muscle fatigue, and compromised gas exchange. It is necessary to understand all the reasons the patient continues to require mechanical

critically ill intubated patients and is an important cause of mortality and morbidity in ICU

Mechanically ventilated patient who requires FiO2 >0.8 and/or positive end-expiratory pressure >12 mm Hg, or who has acutely worsening respiratory failure

Original research related to sedation management occurred in the year 2000 by Kress, Pohlman, O ' Connor, and Hall. Their findings served as a landmark study and initiated the impetus related to improving our sedation practices. According to Kress et al. (2000), daily interruption of sedation led to a decrease in the number of days on the ventilator in the intensive care unit. Several studies since this time have focused on the influence of sedation protocols, and outcomes. This paper will review the synthesis of the discovered studies and highlight the noted contraindications and inconsistencies. Also, explanations including a preliminary conclusion will be discussed.