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COVID-19 disease: invasive ventilation
This article focuses on the critical care nurse's role in the management of patients with COVID-19 who require invasive ventilation in order to improve outcomes and prevent complications. The nature of COVID-19 is such that many patients deteriorate rapidly and for members of this group requiri...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Ltd.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261657/ http://dx.doi.org/10.1016/j.intcar.2020.100004 |
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author | Carter, Chris Osborn, Michelle Agagah, Gifty Aedy, Helen Notter, Joy |
author_facet | Carter, Chris Osborn, Michelle Agagah, Gifty Aedy, Helen Notter, Joy |
author_sort | Carter, Chris |
collection | PubMed |
description | This article focuses on the critical care nurse's role in the management of patients with COVID-19 who require invasive ventilation in order to improve outcomes and prevent complications. The nature of COVID-19 is such that many patients deteriorate rapidly and for members of this group requiring intubation and invasive ventilation, different approaches to airway management and ventilatory support are required. In order to reduce the risk of complications and an overview of invasive ventilation, including commonly used modes, potential complications, nursing care, weaning and extubation are all described. COVID-19 presents several challenges as the disease progresses, hypoxemia may worsen, and the patient can develop Acute Respiratory Distress Syndrome. Therefore, additional treatment strategies including the use of the prone position and the use of nitric oxide and prostacyclin nebulisers have been included. The strategies presented in this article are relevant to both critical care nurses and those re-deployed to intensive care units where nurses will inevitably be involved in the management of patients requiring invasive ventilation. Weaning these patients off invasive ventilation is multi-factorial and may be short or long term. A multi-disciplinary weaning plan, the principles, stages/phases, and speed of weaning with expected parameters prior extubation are explained. Planned and unplanned extubation with the serious complications of the latter as the patient may not be ready and may require emergency re-intubation resulting in setbacks should be avoided. |
format | Online Article Text |
id | pubmed-7261657 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-72616572020-06-01 COVID-19 disease: invasive ventilation Carter, Chris Osborn, Michelle Agagah, Gifty Aedy, Helen Notter, Joy Clinics in Integrated Care Clinics in Integrated Care This article focuses on the critical care nurse's role in the management of patients with COVID-19 who require invasive ventilation in order to improve outcomes and prevent complications. The nature of COVID-19 is such that many patients deteriorate rapidly and for members of this group requiring intubation and invasive ventilation, different approaches to airway management and ventilatory support are required. In order to reduce the risk of complications and an overview of invasive ventilation, including commonly used modes, potential complications, nursing care, weaning and extubation are all described. COVID-19 presents several challenges as the disease progresses, hypoxemia may worsen, and the patient can develop Acute Respiratory Distress Syndrome. Therefore, additional treatment strategies including the use of the prone position and the use of nitric oxide and prostacyclin nebulisers have been included. The strategies presented in this article are relevant to both critical care nurses and those re-deployed to intensive care units where nurses will inevitably be involved in the management of patients requiring invasive ventilation. Weaning these patients off invasive ventilation is multi-factorial and may be short or long term. A multi-disciplinary weaning plan, the principles, stages/phases, and speed of weaning with expected parameters prior extubation are explained. Planned and unplanned extubation with the serious complications of the latter as the patient may not be ready and may require emergency re-intubation resulting in setbacks should be avoided. Elsevier Ltd. 2020-07 2020-07-17 /pmc/articles/PMC7261657/ http://dx.doi.org/10.1016/j.intcar.2020.100004 Text en © 2020 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Clinics in Integrated Care Carter, Chris Osborn, Michelle Agagah, Gifty Aedy, Helen Notter, Joy COVID-19 disease: invasive ventilation |
title | COVID-19 disease: invasive ventilation |
title_full | COVID-19 disease: invasive ventilation |
title_fullStr | COVID-19 disease: invasive ventilation |
title_full_unstemmed | COVID-19 disease: invasive ventilation |
title_short | COVID-19 disease: invasive ventilation |
title_sort | covid-19 disease: invasive ventilation |
topic | Clinics in Integrated Care |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261657/ http://dx.doi.org/10.1016/j.intcar.2020.100004 |
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