PMID: 9538717Apr 16, 1998Paper

Physiological changes occurring with positive pressure ventilation: Part one

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
J Robb

Abstract

Critically ill patients requiring mechanical ventilation are subject to a variety of complications and adverse effects associated with positive pressure ventilation. An awareness of the major physiological effects is important, as recognition, prevention and appropriate treatment of complications is critical to optimizing patient outcome. Pierson (1990) suggests that complications due to ventilation occur with greater frequency than is generally appreciated, and can be a response to suboptimal ventilatory management as a result of poor communication and lack of understanding. This may also adversely affect patient comfort, morbidity and outcome. This can be avoided by improved knowledge of both the function of ventilators and the adverse effects associated with mechanical ventilation. Intensive care nurses face the challenge of caring not only for critically ill patients but also for complex machinery. To improve the delivery of care to the patients, an understanding of the machines and their adverse effects is essential. This increases the nurses' confidence and allows them to focus on the patients and associated problems while maintaining safe and informed care. With the introduction of mechanical ventilation, major physiolog...Continue Reading

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Citations

Jun 7, 2003·Journal of Clinical Nursing·Heidi Grandell-NiemiPauli Puukka
Nov 27, 2004·British Journal of Nursing : BJN·Diana De
Aug 29, 2006·British Journal of Nursing : BJN·Helen Jarvis

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