Nursing care of the mechanically ventilated patient: What does the evidence say?. Part one

Intensive and Critical Care Nursing

Volumn 23, Issue 1, 2007, Pages 4-14

  Couchman, Bronwyn A ^a   Wetzig, Sharon M ^b   Coyer, Fiona M ^c   Wheeler, Margaret K ^c  

^a ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

^b PRINCESS ALEXANDRA HOSPITAL   (Australia)

^c QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

Author keywords

Mechanical ventilation; Nursing care; Patient assessment; Patient comfort; Patient safety

Indexed keywords

AIRWAY OBSTRUCTION; ARTIFICIAL VENTILATION; BED REST; CARDIOVASCULAR DISEASE; CONSCIOUS SEDATION; EQUIPMENT; EVIDENCE BASED MEDICINE; GASTROINTESTINAL DISEASE; HUMAN; INTENSIVE CARE; KIDNEY DISEASE; MENTAL STRESS; MONITORING; NURSE ATTITUDE; NURSING; NURSING ASSESSMENT; NURSING RESEARCH; ORGANIZATION AND MANAGEMENT; PAIN; REVIEW; SAFETY; SKIN CARE; SYSTEM ANALYSIS;

AIRWAY OBSTRUCTION; BED REST; CARDIOVASCULAR DISEASES; CONSCIOUS SEDATION; CRITICAL CARE; EQUIPMENT FAILURE; EVIDENCE-BASED MEDICINE; GASTROINTESTINAL DISEASES; HUMANS; KIDNEY DISEASES; MONITORING, PHYSIOLOGIC; NURSE'S ROLE; NURSING ASSESSMENT; NURSING RESEARCH; PAIN; RESPIRATION, ARTIFICIAL; SAFETY MANAGEMENT; SKIN CARE; STRESS, PSYCHOLOGICAL; SYSTEMS ANALYSIS;

EID: 33845950979     PISSN: 09643397     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.iccn.2006.08.005     Document Type: Review

References (69)

1. ACCCN. Position statement on intensive care nursing staffing (2005), Australian College of Critical Care Nurses. http://www.acccn.com.au/ Available: www.acccn.com.au
2. Adams K. Hemodynamic assessment: the physiologic basis for turning data into clinical information. AACN Clin Issues 15 4 (2004) 534-546
3. Aneman A., Eisenhofer G., Fandriks L., Olbe L., Dalenback J., Nitescu P., et al. Splanchnic circulation and regional sympathetic outflow during peroperative PEEP ventilation in humans. Br J Anaesth 82 6 (1999) 838-842
4. Blackwood B. Normal saline instillation with endotracheal suctioning: primum non nocere (first do no harm). J Adv Nurs 29 4 (1999) 928-934
5. Bowman A., Greiner J., Doerschug K., Little S., Bombei C., and Comried L. Implementation of an evidence-based feeding protocol and aspiration risk reduction algorithm. Crit Care Nurs Q 28 4 (2005) 324-333
6. Boyle M., and Green M. Pressure sores in intensive care: defining their incidence and associated factors and assessing the utility of two pressure sore risk assessment tools. Aust Crit Care 14 1 (2001) 24-30
7. Cannesson M., Besnard C., Durand P., Bohe J., and Jacques D. Relation between respiratory variations in pulse oximetry plethysmographic waveform amplitude and arterial pulse pressure in ventilated patients. Crit Care 9 5 (2005) R562-R568
8. Capovilla J., VanCouwenberghe C., and Miller W.A. Noninvasive blood gas monitoring. Crit Care Nurs Q 23 2 (2000) 79-86
9. Crimlisk J.T., Horn M.H., Wilson D.J., and Marino B. Artificial airways: a survey of cuff management practices. Heart Lung 25 3 (1996) 225-235
10. Crunden E., Boyce C., Woodman H., and Bray B. An evaluation of the impact of the ventilator care bundle. Nurs Crit Care 10 5 (2005) 242-246
11. Day T., Farnell S., and Wilson-Barnett J. Suctioning: a review of current research recommendations. Intensive Crit Care Nurs 18 (2002) 79-89
12. De Jonghe B., Sharshar T., Hopkinsonb N., and Outina H. Paresis following mechanical ventilation. Curr Opin Crit Care 10 (2004) 47-52
13. DeBoer S., Seaver M., and Arndt K. Verification of endotracheal tube placement: a comparison of confirmation techniques and devices. J Emergency Nurs 29 5 (2003) 444-450
14. Dellinger P., Carlet J., Masur H., Gerlach H., Calandra T., Cohen J., et al. Surviving sepsis campaign guidelines for management of severe sepsis and septic shock. Intensive Care Med 30 4 (2004) 536-555
15. Demir F., and Dramali A. Requirement for 100% oxygen before and after closed suction. J Adv Nurs 51 3 (2005) 254-351
16. Dodek P., Keenan S., Cook D., Heyland D., Jacka M., Hand L., et al. Evidence-based clinical practice guideline for the prevention of ventilator-associated pneumonia. Ann Internal Med 141 4 (2004) 305-313
17. Donald K.J., Robertson V.J., and Tsebelis K. Setting safe and effective suction pressure: the effect of using a manometer in the suction circuit. Intensive Care Med 26 (2000) 15-19
18. Drakulovic M.B., Torres A., Bauer T.T., Nicolas J.M., Nogue S., and Ferrer M. Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised controlled trial. Lancet 354 (1999) 1851-1858
19. Ely W., Truman B., Shintani A., and Thomason J. Monitoring sedation status over time in ICU patients: reliability and validity. JAMA 289 22 (2003) 2971-2983
20. Fischer J., and Mathieson C. History of the Glasgow Coma Scale: implications for practice. Crit Care Nurs Q 23 4 (2001) 52-58
21. Flancbaum L., Choban P., Sambucco S., Verducci J., and Burge J. Comparison of indirect calorimetry, the Fick method, and prediction equations in estimating the energy requirements of critically ill patients. Am J Clin Nutr 69 3 (1999) 461-466
22. Frakes M.A. Measuring end-tidal carbon dioxide: clinical applications and usefulness. Crit Care Nurs 21 5 (2001) 23-37
23. Fowler R., and Berensen M. Blood conservation in the intensive care unit. Crit Care Med 31 12 (2003) S715-S720
24. Gaini S., Koldkjaer O., Pedersen C., and Pedersen S. Procalcitonin, lipopolysaccharide-binding protein, interleukin-6 and C-reactive protein. Crit Care 10 2 (2006)
25. Gardner A., Hughes D., Cook R., Henson R., Osborne S., and Gardner G. Best practice in stabilisation of oral endotracheal tubes: a systematic review. Aust Crit Care 18 4 (2005) 158-165
26. Grap M.J., and Munro C.L. Preventing ventilator-associated pneumonia: evidence-based care. Crit Care Nurse Clin N Am 16 (2004) 349-358
27. Grmec S. Comparison of three different methods to confirm tracheal tube placement in emergency intubation. Intensive Care Med 28 (2002) 701-704
28. Heffner J. A wake-up call in the intensive care unit. New Engl J Med 342 20 (2000) 1520-1522
29. Hillman K., and Bishop G. Clinical intensive care and acute medicine. 2nd ed. (2004), Cambridge University Press, Cambridge
30. Hogarth D, Hall J. Management of sedation in mechanically ventilated patients. Curr Opin Crit Care 10(1):40-6, in press.
31. Institute for Healthcare Improvement. Implement the ventilator bundle. http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/ImplementtheVentilatorCareBundle.htm; [retrieved 3rd July 2006].
32. Jaber S., Pigeot J., Bodil R., Maggiore S., Harf A., Isabey D., et al. Long-term effects of different humidification systems on endotracheal tube patency. Anaesthesiology 100 (2004) 782-788
33. Jensen L.A., Onyskiw J.E., and Prasad N.G.N. Meta-analysis of arterial oxygen saturation monitoring by pulse oximetry in adults. Heart Lung 27 6 (1998) 387-408
34. Jubran A., and Tobin M.J. Monitoring during mechanical ventilation. Clin Chest Med 17 3 (1996) 453-473
35. Kelly M, Gillies D, Lockwood C, Todd D. Heated humidification versus heat and moisture exchangers for ventilated adults and children (protocol). Cochrane Database Syst Rev 2004(1). Art. No.: CD004711. doi:10.1002/14651858.CD0004711.
36. Knapp S., Kofler J., Stoiser B., Thalhammer F., Burgmann H., Posch M., et al. The assessment of four different methods to verify tracheal tube placement in the critical care setting. Anesth Analg 88 (1999) 766-770
37. Kollef M.H. The prevention of ventilator-associated pneumonia. New Engl J Med 340 8 (1999) 627-634
38. Krishnan J., Parce P., Martinez A., Diette G., and Brower R. Caloric intake in medical ICU patients: consistency of care with guidelines and relationship to clinical outcomes. Chest 124 1 (2003) 297-305
39. LeBlanc J., Dasta J., and Kane-Gill S. Role of the bispectral index in sedation monitoring in ICU. Ann Pharmacother 40 3 (2006) 490-500
40. Leblanc M., Kellum J., Gibney R., Lieberthal W., Tumlin J., and Mehta R. Risk factors for acute renal failure: inherent and modifiable risks. Curr Opin Crit Care 11 6 (2005) 533-536
41. Lindgren A., and Ames N. Caring for patients on mechanical ventilation: what research indicates is best practice. AJN 105 5 (2005) 50-61
42. Lorente L., Lecuona M., Martin M.M., Garcia C., Mora M.L., and Sierra A. Ventilator-associated pneumonia using a closed versus an open tracheal suction system. Crit Care Med 33 1 (2005) 115-119
43. Martin S., and Wilson M. Monitoring gaseous exchange: implications for nursing care. Aust Crit Care 15 1 (2002) 8-13
44. McClave S., DeMeo M., DeLegge M., DiSario J., Heyland D., and Maloney J. North American summit on aspiration in the critically ill patient: consensus statement. J Parenteral Enteral Nutr 26 6 (2002) S80-S85
45. McGrath A., and Cox C. Cardiac and circulatory assessment in intensive care units. Intens Crit Care Nurs 998 14 (1998) 283-287
46. In: Nettina S.M. (Ed). Lippincott manual of nursing practice. 8th ed. (2006), Lippincott, Williams and Wilkins, Philadelphia
47. Oh H., and Seo W. A meta-analysis of the effects of various interventions in preventing endotracheal suction-induced hypoxaemia. J Clin Nurs 12 (2003) 912-924
48. Pinsky M. Cardiovascular issues in respiratory care. Chest 128 5 (2005) 592S-597S
49. Provonost P.J., Berenholtz S.M., Ngo K., McDowell M., Holzmueller C., Haraden C., et al. Developing and pilot testing quality indicators in the intensive care unit. J Crit Care 18 3 (2003) 145-155
50. Resar R., Pronovost P., Haraden C., Simmonds T., Rainey T., and Nolan T. Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia. Joint Commission J Qual Patient Saf 31 5 (2005) 243-248
51. Riker R., and Fraser G. Monitoring sedation, agitation, analgesia, neuromuscular blockade, and delirium in adult ICU patients. Semin Respir Crit Care Med 22 2 (2001) 189-198
52. Rhodes A., and Bennet E. Early goal directed therapy: an evidence based review. Crit Care Med 32 11 (2004) S448-S450
53. Robb J. Physiological changes occurring with positive pressure ventilation: part one 13 (1997) 293-307
54. Sabol V. Nutrition assessment of the critically ill adult. AACN Clin Issues 15 4 (2004) 595-606
55. Safdar N., Dezfulian C., Collard H., and Saint S. Clinical and economic consequences of ventilator associated pneumonia: a systematic review. Crit Care Med 33 10 (2005) 2184-2193
56. Schoonhoven L., Halboom J., Bousema M., Algra A., Grobbee D., Grypdonck M., et al. Prospective cohort study of routine use of risk assessment scales for prediction of pressure ulcers. Br Med J 326 7381 (2002) 165
57. Soubani A.O. Noninvasive monitoring of oxygen and carbon dioxide. Am J Emergency Med 19 2 (2001) 141-146
58. St John R.E., and Malen J.F. Contemporary issues in adult tracheostomy management. Crit Care Nurs Clin N Am 16 (2004) 413-430
59. Subirana M, Sola I, Garcia JM, Laffaire E, Benito S. Closed tracheal suctions systems versus ope tracheal systems for mechanically ventilated adult patients (protocol). Cochrane Database Syst Rev 2003(3). Art. No.: CD004581. doi:10.1002/14651858.CD0004581.
60. Tablan OC, Anderson LJ, Besser R, Bridges C, Hajjeh R. Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. Morbid Mortal Weekly Rep 2004;53(RR-3):1-38. Available from http://www.cdc.gov/mmwr/PDF/RR/RR5303.pdf.
61. van den Berghe G., Wilmer A., Hermans G., Meersseman W., Wouters P., and Weekers F. Intensive insulin therapy in the medical ICU. New Engl J Med 354 5 (2006) 449-463
62. Vyas D., Inweregbu K., and Pittard A. Measure of tracheal tube cuff pressure in critical care. Anaesthesia 57 (2002) 275-277
63. Winters A., and Munro N. Assessment of the mechanically ventilated patient: an advanced practice approach. AACN Clin Issues 15 4 (2004) 525-533
64. Wolverton C., Hobbs L., Beeson T., Benjamin M., Campbell K., Forbes C., et al. Nosocomial pressure ulcer rates in critical care: performance improvement project. J Nurs Care Qual 20 1 (2005) 56-62
65. Wynne R, Botti M, Paratz J. Preoxygenation for tracheal sunctioning in ventilated adults (protocol). Cochrane Database Syst Rev 2004(4). Art. No.: CD005142. doi:10.1002/14651858.CD005142.
66. Yang J. Prevention and treatment of deep vein thrombosis and pulmonary embolism in critically ill patients. Crit Care Nurs Q 28 1 (2005) 72-79
67. Yeh S., Lee L., Ho T., Chiang M., and Lin L. Implications of nursing care in the occurrence and consequences of unplanned extubation in adult intensive care units. Int J Nurs Stud 41 3 (2004) 255-262
68. Zeitoun S.S., Leite De Barros A.L.B., and Diccini S. A prospective, randomised study of ventilator-associated pneumonia in patients using a closed vs. open suction system. J Clin Nurs 12 (2003) 484-489
69. Zink W., Noll J., Rauch H., Bauer H., Desimone R., Martin E., et al. Continuous assessment of right ventricular ejection fraction: new pulmonary artery catheter versus transesophageal echocardiography. Anaesthesia 59 (2004) 1126-1132