A Scoring Tool That Identifies the Need for Positive-Pressure Ventilation and Determines the Effectiveness of Allocated Respiratory Therapy

2021 ◽  
pp. respcare.08555
Author(s):  
David L Vines ◽  
Christy Tangney ◽  
Edita Meksraityte ◽  
J Brady Scott ◽  
Louis Fogg ◽  
...  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
J. Scott Turner

Artificial ventilation carries a suite of risks, including ventilation-induced pneumonia, permanent lung injury, and fatal complications. It is a drastic and dangerous intervention in a patient’s care. J. Scott Turner explores why high-frequency ventilation may be a safer and more effective alternative to the positive-pressure ventilation that is most commonly used in severe COVID-19 cases.


Author(s):  
Carl Waldmann ◽  
Andrew Rhodes ◽  
Neil Soni ◽  
Jonathan Handy

This chapter discusses respiratory therapy techniques and includes discussion on oxygen therapy, discussion of intermittent positive pressure ventilation and description of ventilators, modes of ventilation, adjusting the ventilator, barotrauma, and weaning techniques. The chapter also discusses high-frequency ventilation, airway pressure release ventilation, as well as positive end-respiratory pressure, continuous positive airway pressure ventilation, recruitment manoeuvres, prone position ventilation, non-invasive positive pressure ventilation, extracorporeal membrane oxygenation, cricothyroidotomy, tracheostomy, aftercare of the patient with a tracheostomy, chest drain insertion, pleural aspiration, flexible bronchoscopy, chest physiotherapy, humidification, and heart–lung interactions.


Author(s):  
Moon-Sook Kim ◽  
Mi-Hee Seo ◽  
Jin-Young Jung ◽  
Jinhyun Kim

The purpose of this study is to develop a simulation-based ventilator training program for general ward nurses and identify its effects. Quantitative data were collected from 29 nurses (intervention group: 15, control group: 14), of which seven were interviewed with focus groups to collect qualitative data. The quantitative results revealed significant differences in ventilator-related knowledge (p = 0.029) and self-efficacy (p = 0.026) between the intervention and control groups. Moreover, three themes were derived from meaningful statements in the qualitative data: understanding psychophysical discomfort of the patient while applying the ventilator; helping in ventilator care; and establishing a future ventilator training strategy. The findings confirmed that the non-invasive positive pressure ventilation (NPPV) simulation program is an effective method for improving the knowledge of ventilator nursing and self-efficacy and will be helpful in developing educational methods and strategies related to ventilator nursing for general ward nurses.


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