AACN Protocols for Practice: Care of Mechanically Ventilated Patients,9780763740801

AACN Protocols for Practice: Care of Mechanically Ventilated Patients

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Edition: 2nd
ISBN13: 9780763740801
ISBN10: 0763740802
Format: Paperback
Pub. Date: 2006-05-22
Publisher(s): Jones & Bartlett Learning
List Price: $102.85

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Summary

Care of Mechanically Ventilated Patients guides clinicians’ practice in the following categories: airway management, modes and methods of mechanical ventilation, weaning, sedation and neuromuscular blockade, nutrition support, and home care management of ventilator-assisted patients. Each protocol guides clinicians in the appropriate selection of patients, use and application of management principles, initial and ongoing monitoring, discontinuation of therapies or interventions, and selected aspects of quality control.

Table of Contents

About the Protocols vii
Acknowledgments ix
Contributors xi
Airway Management
1(58)
Robert E. St. John
Maureen A. Seckel
Case Study
3(1)
General Description
4(1)
Performance Characteristics: Technical Standards for Tracheal Tubes
4(1)
Competency
5(1)
Ethical Considerations
6(1)
Occupational Hazards
6(1)
Future Research
6(1)
Suggested Readings
7(2)
Clinical Recommendations
9(21)
Annotated Bibliography
30(4)
Other References
34(7)
Appendix 1A Equipment Guidelines for Intubation and Suctioning
41(1)
Appendix 1B Comparison of Artificial Airways
42(5)
Appendix 1C Types of Tracheostomy Tubes
47(4)
Appendix 1D Communication Options for Patients With Artificial Airways
51(3)
Appendix 1E Terminology Associated With Various Types of Suctioning Procedures
54(3)
Appendix 1F High Risk Intubation/Reintubation
57(2)
Invasive and Noninvasive Modes and Methods of Mechanical Ventilation
59(36)
Lynelle N. B. Pierce
Case Study
61(2)
General Description
63(2)
Accuracy
65(1)
Competency
66(1)
Knowledge
66(1)
Skills
66(1)
Ethical Considerations
66(1)
Occupational Hazards
67(1)
Future Research
67(1)
Suggested Readings
67(1)
Clinical Recommendations---Volume-Targeted Ventilatory Modes
68(4)
Clinical Recommendations---Pressure-Targeted Ventilatory Modes
72(4)
Clinical Recommendations---Ventilatory Techniques: Lung Protection Strategies
76(3)
Clinical Recommendations---Ventilatory Techniques: Noninvasive Possitive Pressure Ventilation
79(5)
Annotated Bibliography
84(5)
Other References
89(6)
Weaning from Mechanical Ventilation
95(66)
Suzanne M. Burns
Case Study 1: Short-Term Mechanical Ventilation
97(1)
Discussion of Case Study 1
97(1)
Case Study 2: Long-Term Mechanical Ventilation
98(1)
Discussion of Case Study 2
99(1)
General Description
99(2)
Accuracy
101(1)
Competency
101(1)
Ethical Considerations
102(1)
Occupational Hazards
102(1)
Future Research
102(1)
Suggested Readings/Resources
103(1)
Clinical Recommendations
104(41)
Annotated Bibliography
145(4)
Other References
149(6)
Appendix 3A Burns Wean Assessment Program
155(2)
Appendix 3B Traditional Weaning Indices
157(1)
Appendix 3C Frequency to Tidal Volume Ratio (f/VT)
158(1)
Appendix 3D Sample Weaning Protocol
159(2)
Beyond the ICU: Home Care Management of Patients Receiving Mechanical Ventilation
161(30)
Margaret M. Ecklund
Case Study 1
163(1)
Case Study 2
164(1)
Case Study 3
164(1)
Case Study 4
164(1)
General Description
164(1)
Competency
165(1)
Ethical and Financial Considerations
165(1)
Occupational Hazards
165(1)
Future Research
165(1)
Suggested Readings
166(1)
Clinical Recommendations
167(10)
Annotated Bibliography
177(5)
Other References
182(1)
Appendix 4A Algorithm for Home Mechanical Ventilation
183(1)
Appendix 4B Responsibilities of Team Members: Education and Preparation for Home Mechanical Ventilation
184(2)
Appendix 4C Checklists
186(3)
Appendix 4D Sample Medication Administration Record
189(1)
Appendix 4E Decision Tree for Care
190(1)
Nutritional Support for Mechanically Ventilated Patients
191(62)
Carol Ress Parrish
Joe Krenitsky
Kate Willcutts
Case Study
193(1)
General Description
193(1)
Competencies
194(1)
Ethical Considerations
194(1)
Occupational Hazards
194(1)
Future Research
194(2)
Clinical Recommendations
196(34)
Annotated Bibliography
230(14)
Other References
244(9)
Sedation and Neuromuscular Blockade in Mechanically Ventilated Patients
253(2)
Jill Luer
Case Study 1
255(1)
Case Study 2
256(1)
General Description
257(1)
Competency
258(1)
Ethical Considerations
258(1)
Future Research
258(1)
Suggested Readings
258(1)
Clinical Recommendations---Sedation
259(7)
Clinical Recommendations---Neuromuscular Blockade
266(4)
Annotated Bibliography
270(7)
Other References
277(3)
Appendix 6A Drugs Used for Sedation and Analgesia in the ICU
280(2)
Appendix 6B Sedation Assessment Scales With Validity and Reliability in Adult Patients
282(2)
Appendix 6C Neuromuscular Blocking Drugs Used in the ICU
284

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