Mechanical Ventilation
| Mechanical Ventilation Weaning Protocol | A Gold Standard Nurse-Led Approach in the ICU | | Walden University |
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Abstract
This paper explores fifteen different medical and academic journals to show the importance of nurse-led Mechanical Weaning (MV) protocol. Based on studies conducted in the United States, Taiwan, Australia and New Zealand, the paper will show that without an effective weaning plan, the job of an intensive care unit (ICU) nurse becomes difficult and ineffective. Different weaning approaches will be discussed as well as different outcomes of successful weaning.
A nurse-led approach to Mechanical Ventilation Weaning Protocol
Mechanical ventilation (MV) was introduced to intensive care units (ICU) nearly forty years ago. Patients are often placed on MV for various reasons and different lengths of time. It is the procedure where a patient receives ventilator support through a mock airway because his or her body cannot inhale oxygen or remove carbon dioxide through spontaneous breathing. Ventilation is therefore delivered through an artificial airway to meet the patient’s oxygen demands without harming the patient.
Although this method is one of the most common medical therapies used in a hospital setting today (Southern Medical Journal) and is a live-saving measure, prolonged MV is causing a problem of cost and health complications for patients (Crit Care Med 2009). Therefore, from the moment a patient is placed on MV, the goal is to wean him or her off it. Healthcare professionals are taking steps to wean patients off MV by promoting spontaneous breathing so they can heal, restore and recover quicker. This happens though extubation – the process where the artificial airway is permanently removed (Crit Care Med 2009).
Yet, there has not been any nationally agreed clinical guideline to wean a patient. This patient is solely dependent on the experience and judgment of the nurse or doctor on his or her case
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Abstract
This paper explores fifteen different medical and academic journals to show the importance of nurse-led Mechanical Weaning (MV) protocol. Based on studies conducted in the United States, Taiwan, Australia and New Zealand, the paper will show that without an effective weaning plan, the job of an intensive care unit (ICU) nurse becomes difficult and ineffective. Different weaning approaches will be discussed as well as different outcomes of successful weaning.
A nurse-led approach to Mechanical Ventilation Weaning Protocol
Mechanical ventilation (MV) was introduced to intensive care units (ICU) nearly forty years ago. Patients are often placed on MV for various reasons and different lengths of time. It is the procedure where a patient receives ventilator support through a mock airway because his or her body cannot inhale oxygen or remove carbon dioxide through spontaneous breathing. Ventilation is therefore delivered through an artificial airway to meet the patient’s oxygen demands without harming the patient.
Although this method is one of the most common medical therapies used in a hospital setting today (Southern Medical Journal) and is a live-saving measure, prolonged MV is causing a problem of cost and health complications for patients (Crit Care Med 2009). Therefore, from the moment a patient is placed on MV, the goal is to wean him or her off it. Healthcare professionals are taking steps to wean patients off MV by promoting spontaneous breathing so they can heal, restore and recover quicker. This happens though extubation – the process where the artificial airway is permanently removed (Crit Care Med 2009).
Yet, there has not been any nationally agreed clinical guideline to wean a patient. This patient is solely dependent on the experience and judgment of the nurse or doctor on his or her case
References: Brochard, Laurent., Thille, Arnaud W. (2009). What is the proper approach to liberating the weak from mechanical ventilation? Vol. 37, No. 10. Chen, Ching-Ju., Lin, Chouh-Jiaun Crocker, Cheryl., Timmons, Stephen. (2008) Journal of Advanced Nursing. The role of technology in critical care nursing. Gimenez, Ana Goodman, Sheila. (2006). Implementing a protocol for weaning patients off mechanical ventilation. Vol. 11, No. 1. Herlihy, James P., Koch, Stephen M Interstitial Lung Disease-Various Topics, continued. (2004). Page 755-757. McLean, Suzanne E., Jensen, Louise A., Schroeder, Dallas G Newmarch, Christine. (2006). Nursing Standard. Caring for the mechanically ventilated patient: part two. Vol. 20, No. 18. Powers, Scott K., Kavazis, Andreas N. (2009). Prolonged mechanical ventilation alters diaphragmatic structure and function. Vol. 37, No. 10. Pruitt, Bill. (2006). Nursing 2006, Weaning Patients from Mechanical Ventilation. Vol. 36, No. 9. Rose, Louise., Nelson, Sioban. (2006). Integrative Literature Reviews and Meta-Analyses. Issues in weaning from mechanical ventilation: literature review. Page 73-85. Rose, L., Presneill, J.J. (2009). Ventilation and weaning practices in Australia and New Zealand. Vol. 37, No.1 Shiva, Prasad, B.N., Chaudhry, Druva