Affiliation:
1. Irene Grossbach has practiced as a pulmonary clinical nurse specialist for 28 years and is an adjunct assistant professor in the school of nursing at the University of Minnesota in Minneapolis. Linda Chlan is an associate professor in the school of nursing at the University of Minnesota in Minneapolis. Mary Fran Tracy is a critical care clinical nurse specialist at the University of Minnesota Medical Center, Fairview in Minneapolis.
Abstract
Nurses must be knowledgeable about the function and limitations of ventilator modes, causes of respiratory distress and dyssynchrony with the ventilator, and appropriate management in order to provide high-quality patient-centered care. Prompt recognition of problems and action by the nurse may resolve acute respiratory distress, dyspnea, and increased work of breathing and prevent adverse events. This article presents an overview of mechanical ventilation modes and the assessment and management of dyspnea and patient-ventilator dyssynchrony. Strategies to manage patients’ responses to mechanical ventilatory support and recommendations for staff education also are presented.
Subject
Critical Care Nursing,General Medicine
Cited by
17 articles.
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