Terminal weaning from mechanical ventilation: planning and process
Article Abstract:
Guidelines are given for terminal weaning from mechanical ventilation. The guiding ethical principles are respecting patient autonomy and patient benefit. This means abiding by the mentally competent patient's wishes or making a decision in the patient's best interest in the case of mentally incompetent patients, which means consulting with family or considering advance directives. The goal of care becomes patient comfort, death with dignity, and providing good communication and emotional support to patient and family.
Publication Name: Critical Care Nursing Quarterly
Subject: Health care industry
ISSN: 0887-9303
Year: 1996
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Using drug chronotherapy to wean patients from mechanical ventilation
Article Abstract:
Timing of drug administration may facilitate weaning from mechanical ventilation. Weaning from mechanical ventilation converts intrathoracic pressure from positive back to the normal negative, which can have adverse effects on the cardiovascular system of compromised patients. This can result in failure to wean. Optimal timing of medication administration may offset these adverse effects. For example, nurses can time administration of a diuretic so that it has peak effect when the weaning trial begins.
Publication Name: Critical Care Nursing Quarterly
Subject: Health care industry
ISSN: 0887-9303
Year: 1996
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Pressure controlled-inverse ratio ventilation
Article Abstract:
Pressure controlled-inverse ratio ventilation may decrease the risk of barotrauma in patients in acute respiratory failure. This lengthens inspiration without increasing mean airway pressure. Mean airway pressure can then be adjusted without increasing positive end-expiratory pressure or peak airway pressure, thus reducing the risk of alveolar overdistention. Sedation or paralyzation may be necessary. Patient monitoring is the same as with conventional inspiration-expiration ratios.
Publication Name: Critical Care Nursing Quarterly
Subject: Health care industry
ISSN: 0887-9303
Year: 1996
User Contributions:
Comment about this article or add new information about this topic:
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