Mechanical ventilation is defined as using a device that is called a ventilator to provide positive pressure oxygen flow to a patient who have partially or fully lost the ability to breath on their own. Typically patients will require a ventilator for anesthesia during surgeries, or respiratory compromise due to trauma or some sort of illness. When people imagine a ventilated patient they constantly think of the unconscious person who sustained some sort of major trauma who are more than likely brain dead. However there are many patients that have lost the ability to breathe that are now regaining consciousness only to find they cannot breath on their own. This condition could be permanent or they could take some time to regain the ability to breathe on their own in a process called weaning. …show more content…
The sensation of breathlessness, frequent suctioning, inability to talk, vagueness regarding their surroundings or ailment, discomfort, isolation from others, and fear contribute to high levels of anxiety. These high levels of anxiety are thought to be high contributing factors in patients having difficulty weaning off of ventilator support. “Patients who are unable to wean from the ventilator are often transferred from surgical, medical, and cardio-thoracic intensive care units to pulmonary step-down units for the weaning process (Hunter, Bryan C., et al 2015 pg 200).” Researcher have decided to take a different approach to easing the stress and anxiety related to ventilated patients by the using soothing music instead of pharmaceutical
This essay describes how the anaesthetic machine and airway management equipment are prepared in operating theatres and discusses how they are ensured safe for use. It evaluates the Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidelines related to safe practice and the preparation of the ET tubes, laryngeal masks, guedels, Naso pharyngeal airways and the laryngoscope. The function of the anaesthetic workstation is to deliver a mixture of anaesthetic agents and gases safely to the patient during the induction process and throughout surgery. In addition, it also provides ventilation to support breathing and monitors the patient’s vital signs to minimise the anaesthetic risks to the patient whilst in the care of health professionals. The pre-use check is vital to patient safety as an inadequate check of the anaesthetic machine or airway management equipment can and does lead to significant harm of the patient including mortality (Medicines and Healthcare Products Regulatory Agency (MHRA), 2008 and Magee, 2012).
Respiratory assessment is a significant aspect of nursing practice. According to the National Institute for Health and Care Excellence, respiratory rate is the best indicator of an ill patient and it is the first observation that will demonstrate a problem or deterioration in condition (Philip, Richardson, & Cohen, 2013). When a respiratory assessment performed effectively on a patient, it can result in upholding patient’s comfort and independence in progress of symptom management. Studies have acknowledged that in spite of the importance of the respiratory rate (RR) it is documented rarely than the other vital signs in the hospital settings (Parkes, 2011). This essay will highlight the importance of respiratory assessment and discuss why nurses
Previous research used noninvasive ventilation to help those with COPD improve their altered level of consciousness by allowing the alveoli to be ventilated and move the trapped carbon dioxide out of the lungs. When too much carbon dioxide is in the blood, the gas moves through the blood-brain barrier and causes an acidosis within the body, because not enough carbon dioxide is being blown off through ventilation. The BiPAP machine allows positive pressure to enter the lungs, expand all the way to the alveoli, and create the movement of air and blood. Within the study, two different machines were used; a regular BiPAP ventilator and a bilevel positive airway pressure – spontaneous/timed with average volume assured pressure support, or AVAPS. The latter machine uses a setting for a set tidal volume and adjusts based on inspiratory pressure.
WEST, N and POPKESS-VAWTER, S (1994) The subjective and psychosocial nature of breathlessness. Journal of Advanced Nursing. 20 p622.
Despite interventions aimed at decreasing noise, sound levels continue to exceed WHO recommendations and the ICU sounds (e.g., alarms and conversations) may interfere with sleep. The psychological impact of noise in the ICU varies. For some patients, the sounds in the ICU are comforting and for others they cause distress. To create a therapeutic environment, continued efforts are needed to decrease background noise, and to modify behaviors and factors that cause peak noise events. Interventions to protect patients from noise in the ICU, such as earplugs, may be beneficial in optimizing outcomes; however, further research is needed in a broader ICU population. Finally, to evaluate the effects of these interventions, valid and reliable methods for outcomes, such as sleep and sound levels, must be used.
Phaneuf, M. (2014). Music as a nursing intervention, not as crazy as it sounds. Retrieved from:
Medical technology today has achieved remarkable feats in prolonging the lives of human beings. Respirators can support a patient's failin...
It is true that music has a compact link to our emotions. Music assists people to overcome the bad situations in their life, just like it did for Sonny, the barmaid, or some other people in the Harlem. Music has a tremendous effect on people’s minds because it makes them feel relaxed and comfortable, especially with the soft classical music. It helps distressed people stay smooth and peaceful. In fact, music is a remarkable way to ease stress.
In certain cases patients are provided with mouthpieces and other breathing apparatus which helps them sleep properly.
Hess Dean R., M. N. (2012). Respiratory Care: Principles and Practice 12th Edition. Sudbury, MA: Jones and Bartlett Learning.
A pneumothorax is defined as “the presence of air or gas in the plural cavity which can impair oxygenation and/or ventilation” (Daley, 2014). The development of a pneumothorax to a tension pneumothorax can be caused from positive pressure ventilation.
A healing environment is free from disturbances and loud noises to allow the patient to sleep and have adequate rest. Sl...
Li, X., Zhou, K., Yan, H., Wang, D., & Zhang, Y. (2012). Effects of music therapy on anxiety of patients with breast cancer after radical mastectomy: a randomized clinical trial. Journal Of Advanced Nursing, 68(5), 1145-1155.
worker to be constantly up to date on any new procedures which may be developed.
Murrock, C. J., & Higgins, P.A. (2009). The theory of music, mood and movement to improve health outcomes. Journal of Advanced Nursing, 65(10), 2249-2257.