Rehab Realities by Renee Kinder

JANUARY 18, 2024

The article, titled “Daily Toothbrushing to Prevent Hospital — Acquired Pneumonia — Brushing Away the Risk,” emphasizes the significance of routine oral care in preventing hospital-acquired pneumonia (HAP), a serious concern that affects both ventilated and non-ventilated patients.

Ventilator 110

Ventilator Long-term care Article Nursing home 110

Nurse Nacole

OCTOBER 2, 2024

Category: Critical Care Nursing After intubation, additional neuromuscular blocking agents should generally be used only when poor ventilator synchrony interferes with ventilation sedation and analgesia. This may be particularly true in patients with ARDS.

Ventilator 52

Ventilator Nursing 52

Nurse Nacole

OCTOBER 1, 2024

Category: Critical Care Nursing Intubation, mechanical ventilation and paralysis are a significant cause of pain and anxiety for patients, and analgesia and sedation are required to promote patient comfort and patient-ventilator synchrony.

Ventilator 52

Ventilator Nursing 52

Hospice News

DECEMBER 18, 2023

If I need to do a ventilator on someone, if we need to have a BiPAP, or non-invasive ventilation, or if we need different modalities, those will be done. If I need to do a ventilator on someone, if we need to have a BiPAP, or non-invasive ventilation, or if we need different modalities, those will be done.

Medical director 264

Medical director Hospice care Hospice Ventilator 264

Nurse Nacole

SEPTEMBER 25, 2024

Category: Critical Care Nursing Continuous mechanical ventilation (CMV) is intended to provide full ventilatory support. However, if a patient generates negative pressure, representing respiratory effort, on CMV, that breath will be assisted by the ventilator.

Ventilator 52

Ventilator Nursing 52

Nurse Nacole

OCTOBER 31, 2024

In general, when oversedation occurs, brief support of ventilation permits the patient to recover. Category: Critical Care Nursing Flumazenil is a competitive antagonist of benzodiazepines. Although it reverses sedation, it is not as effective for reversing respiratory depression.

Ventilator 59

Ventilator Nursing 59

Daily Nurse

SEPTEMBER 10, 2024

Factors such as the Charlson Comorbidity Index (CCI), Sequential Organ Failure Assessment (SOFA) score, Acute Physiology and Chronic Health Evaluation (APACHE II) score, hospital length of stay, and use of mechanical ventilation were found to influence readmission risk.

Ventilator 98

Ventilator 2017 Article Information 98

Hospice News

JANUARY 31, 2024

“It seems to indicate that we can have a much more efficient sort of throughput of patients when we have palliative care engagement for many subpopulations,” said Akgün.

Palliative care 294

Palliative care Palliate Ventilator Definition 294

Nurse Nacole

DECEMBER 6, 2023

Category: Fundamentals There is some evidence that cricoid pressure helps prevent gastric inflation during bag-mask ventilation, though cricoid pressure during bag-mask ventilation reduces tidal volume, increases peak inspiratory pressure and prevents good air exchange.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

DECEMBER 1, 2023

Category: Fundamentals Achieving adequate ventilation with a bag-mask device requires an open upper airway and a good mask seal. Overly aggressive bag-mask ventilation causes stomach inflation and increases the risk for aspiration.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

DECEMBER 5, 2023

Category: Fundamentals The laryngeal mask airways are widely considered to be essential adjuncts for rescue ventilation and difficult intubation, can be inserted in less than 30 seconds, and provide effective ventilation in more than 98% of patients.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

DECEMBER 3, 2023

Category: Fundamentals Extraglottic airway devices can be blindly placed above or posterior to the larynx to allow rapid ventilation and oxygenation. They are good rescue devices for patients who are difficult or impossible to ventilate and oxygenate with a face mask.

Ventilator 59

Ventilator Nursing 59

Daily Nurse

OCTOBER 18, 2023

Mattoon, Illinois-based flight nurses Kelly Hamill and Dakota Shadwell of the Air Evac Lifeteam are receiving nationwide recognition for using the new Bubble CPAP non-invasive ventilation equipment to save the life of a preterm baby born at about six months gestation, who weighed only two pounds. 5-8 in Washington.

Ventilator 116

Ventilator Nursing Blog 116

Nurse Nacole

OCTOBER 7, 2024

Category: Critical Care Nursing Patients with acute hemodynamic compromise or acute hypoxia on the ventilator should be bagged manually on 100% oxygen. Tension pneumothorax, increased iPEEP and accidental extubation are the most life-threatening concerns.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

OCTOBER 8, 2024

Category: Critical Care Nursing Patients with hemodynamic compromise or acute hypoxia on the ventilator should be auscultated and chest examined to ensure breath sounds. Changes in breath sounds may indicate a pneumothorax or migration of the endotracheal tube.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

OCTOBER 6, 2024

Category: Critical Care Nursing When a patient's condition suddenly deteriorates during mechanical ventilation, a systematic approach should be applied to assess for life-threatening conditions. The first step in evaluation includes assessing the patient and vital signs.

Vital signs 59

Vital signs Ventilator Nursing 59

Nurse Nacole

OCTOBER 5, 2024

Category: Critical Care Nursing A potential complication of positive pressure ventilation is the development of iPEEP. iPEEP is the accumulation of end-expiratory volume and end-expiratory pressure that occurs when exhalation cannot be fully completed.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

SEPTEMBER 23, 2024

Category: Critical Care Nursing In volume-controlled ventilation, a breath is defined by delivery of a set tidal volume to the lungs. Inspiratory volume and flow rate are set by the provider and inhalation ends once a preset tidal volume has been delivered.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

SEPTEMBER 18, 2024

Category: Critical Care Nursing Cricothyrotomy is indicated when oral or nasal intubation is impossible or fails and when bag valve mask or extraglottic devices cannot maintain adequate oxygen saturation (the can't intubate, can't ventilate situation).

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

SEPTEMBER 22, 2024

Category: Critical Care Nursing In pressure-controlled ventilation (PCV), a set amount of pressure is applied to the airway to expand the lungs for a specified amount of time. During PCV, the target pressure and inspiratory time are set by the provider.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

SEPTEMBER 5, 2024

Category: Critical Care Nursing Preintubation assessment should evaluate the patient for potential difficult intubation and difficult BMV, placement of and ventilation with an extraglottic device and cricothyrotomy. Knowledge of all four domains is crucial to successful planning.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

SEPTEMBER 2, 2024

Category: Critical Care Nursing The decision to intubate should be based on: (1) failure to maintain or protect the airway; (2) failure of ventilation or oxygenation; and (3) the patient's anticipated clinical course and likelihood of deterioration.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

SEPTEMBER 27, 2024

Category: Critical Care Nursing Regardless of the ventilatory mode chosen, PEEP is often used during invasive mechanical ventilation. PEEP refers to the maintenance of positive airway pressure after the completion of passive exhalation.

Ventilator 52

Ventilator Nursing 52

Nurse Nacole

SEPTEMBER 26, 2024

Category: Critical Care Nursing Synchronized intermittent mandatory ventilation (SIMV) provides intermittent ventilatory support to patients by delivering mandatory and spontaneous breaths. In SIMV, a mandatory breath is given at a preset rate.

Ventilator 52

Ventilator Nursing 52

Nurse Nacole

SEPTEMBER 3, 2024

Category: Critical Care Nursing A patent airway is essential for adequate ventilation and oxygenation. If a patient is unable to maintain a patent airway, the airway should be established by using repositioning, chin lift, jaw thrust, or insertion of an oral or nasal airway.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

FEBRUARY 7, 2024

Cuffed tracheostomy tubes are used for patients on long-term mechanical ventilation. Cuffed tubes also prevent volume loss during positive pressure ventilation while preventing air leaks. Category: Fundamentals Tracheostomy tubes can be cuffed or uncuffed.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

JANUARY 31, 2024

Several factors contribute to suctioning-related hypoxia, including interruption of mechanical ventilation, aspiration of air and suctioning-related atelectasis. Category: Fundamentals Hypoxemia from suctioning may cause increased ICP, dysrhythmias or even death.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

JANUARY 30, 2024

Category: Fundamentals For mechanically ventilated patients, the head of the bed should be elevated to 30 degrees to improve respiratory mechanics. Aseptic technique should be used throughout all suctioning procedures to prevent the introduction of bacteria.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

JANUARY 21, 2024

Category: Fundamentals The tracheostomy cuff provides a tight seal to allow positive pressure ventilation and prevent aspiration. Cuff pressure should ideally be maintained below 25 mm Hg. Overinflation can cause disastrous injury to the tracheal wall and mucosa.

Ventilator 59

Ventilator Nursing 59

Nurse.com

DECEMBER 15, 2023

Intubation: Endotracheal intubation and mechanical ventilation may be necessary when patients cannot maintain their airway independently. Ventilatory support: Patients with severe respiratory distress may require mechanical ventilation through a ventilator.

Ventilator 93

Ventilator Nursing Resuscitation Blog 93

Daily Nurse

MARCH 28, 2023

The evidence-based bundle includes various elements related to pain, agitation, delirium, ventilator care, and family engagement. Because ICU admissions often last multiple days, discussions often address the same patient over different days.

Ventilator 111

Ventilator Document 2021 Patient care 111

The Nurse Break

DECEMBER 15, 2022

In this instance, the normal care would be to use a bag valve mask and ventilate or breathe for the patient, however in a CICO event, you are unable to ventilate and hence unable to oxygenate. CICO is an anaesthetic airway emergency where the induction of anaesthesia has commenced and the patient’s airway is requiring management.

Ventilator 98

Ventilator Events Article Nursing 98

Nurse Nacole

DECEMBER 2, 2023

Category: Fundamentals The goal of bag-mask ventilation is to achieve adequate gas exchange while keeping peak airway pressure low. Squeezing the bag forcefully creates high peak airway pressure and is more likely to inflate the stomach.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

NOVEMBER 30, 2023

Category: Fundamentals The only contraindication to attempting bag-mask ventilation is when the application is impossible. It is often impossible to achieve an effective face mask seal on patients with deforming facial trauma and those with thick beards.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

NOVEMBER 6, 2023

Establishment of a patent airway, oxygenation and bag-mask ventilation (BMV) remain the cornerstones of good emergency airway management. Category: Fundamentals Basic airway procedures are critically important and often lifesaving.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

NOVEMBER 18, 2023

Category: Fundamentals Adequate O2 delivery depends on the inspired partial pressure of O2, alveolar ventilation, pulmonary gas exchange, blood oxygen-carrying capacity and cardiac output. The easiest factor to manipulate is the partial pressure of inspired O2.

Ventilator 59

Ventilator Nursing 59

Nurse Nacole

NOVEMBER 7, 2023

Category: Fundamentals Extraglottic devices, such as laryngeal mask airways (LMAs) and the King Laryngeal Tube (LT), are also important for the initial resuscitation of apneic patients and for rescue ventilation when intubation fails.

Resuscitation 59

Resuscitation Ventilator Nursing 59