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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2011 / Cilt: 19 - Sayı: 4

Weaning from mechanical ventilation and nursing

Mekanik ventilasyondan ayırma ve hemşirelik

Ayla YAVA
Mustafa KÜRKLÜOĞLU
Aynur KOYUNCU
Ufuk DEMİRKILIÇ
Adem GÜLER
Pages
671–681
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this article the weaning phases and methods, decision making, weaning parameters, and nursing care are reviewed.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Weaning from a mechanical ventilator covers the entire process of liberating the patient from mechanical support and from the endotracheal tube.
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Key Findings & Data:Institutional protocols for the weaning process are the other factors affecting the success rate of weaning.
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Conclusion & Impact:In this article the weaning phases and methods, decision making, weaning parameters, and nursing care are reviewed.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Weaning from a mechanical ventilator covers the entire process of liberating the patient from mechanical support and from the endotracheal tube. The appropriate time for weaning should be determined according to the physical and emotional condition of the patient together with the presence of medical staff. Each phase of weaning requires advanced nursing knowledge and skill. Nursing observations and continuous monitoring of the patient’s progress may prevent the delay of weaning and help notice problems that might be encountered during the process in the early phases. The quality of nursing care is one of the important factors that determines the success of weaning. The follow-up procedures and applications of the weaning process should be determined beforehand. Institutional protocols for the weaning process are the other factors affecting the success rate of weaning. In this article the weaning phases and methods, decision making, weaning parameters, and nursing care are reviewed.

Özet

Mekanik ventilatörden ayırma, hastanın mekanik destek ve endotrakeal tüpten ayrılmasına ilişkin tüm süreci kapsar. Mekanik ventilatörden ayırmak için hastanın fizyolojik ve psikolojik durumu ile tıbbi personel mevcudiyetine göre uygun zaman belirlenmelidir. Ayırmanın her aşaması ileri hemşirelik bilgisi ve becerisi gerektirmektedir. Hemşirelik gözlemi ve hastadaki gelişmelerin sürekli izlenmesi; mekanik ventilatörden ayırmanın gecikmesini engelleyebilir ve oluşabilecek sorunların erken dönemde fark edilmesini sağlayabilir. Hemşirelik bakımının kalitesi ayırma başarısını belirleyen önemli faktörlerden biridir. Ayırma sürecinin takip prosedürleri ve uygulamaları önceden belirlenmelidir. Ayırma sürecine yönelik kurumsal protokoller başarı oranını etkileyen diğer faktörlerdir. Bu makalede, ayırma aşamaları ve yöntemleri, kararın verilmesi, ayırma parametreleri ve hemşirelik bakımı derlenmiştir.

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Cite This Article

YAVA, A., KÜRKLÜOĞLU, M., KOYUNCU, A., DEMİRKILIÇ, U., GÜLER, A. (2022). Weaning from mechanical ventilation and nursing. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 19 - Sayı: 4, 671–681. https://ajindex.com/articles/424794

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References (18)

  1. Rose L, Nelson S. Issues in weaning from mechanical ventilation: literature review. J Adv Nurs 2006;54:73-85
  2. MacIntyre NR, Cook DJ, Ely EW Jr, Epstein SK, Fink JB, Heffner JE, et al. Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest 2001;120:375S-95S
  3. Marini JJ, Wheeler AP. Weaning from mechanical ventilation, In: Marini JJ, Wheeler AP, editors. Critical care medicine: the essentials. 2nd ed. Pennsylvania: Willams & Wilkins; 1997. p. 173-95
  4. Mancebo J. Weaning from mechanical ventilation. Eur Respir J 1996;9:1923-31
  5. Calfee CS, Matthay MA. Recent advances in mechanical ventilation. Am J Med 2005;118:584-91
  6. Pingleton SK. Complications of acute respiratory failure. Am Rev Respir Dis 1988;137:1463-93
  7. Crocker C. Nurse led weaning from ventilatory and respiratory support. Intensive Crit Care Nurs 2002;18:272-9
  8. Gelsthorpe T, Crocker C. A study exploring factors which influence the decision to commence nurse-led weaning. Nurs Crit Care 2004;9:213-21
  9. Jenny J, Logan J. Promoting ventilator independence: a grounded theory perspective. Dimens Crit Care Nurs 1994;13:29-37
  10. Logan J, Jenny J. Qualitative analysis of patients’ work during mechanical ventilation and weaning. Heart Lung 1997;26:140-7
  11. Blackwood B. Can protocolised-weaning developed in the United States transfer to the United Kingdom context: a discussion. Intensive Crit Care Nurs 2003;19:215-25
  12. Blackwood B, Wilson-Barnett J, Trinder J. Protocolized weaning from mechanical ventilation: ICU physicians’ views. J Adv Nurs 2004;48:26-34
  13. Burns SM, Burns JE, Truwit JD. Comparison of five clinical weaning indices. Am J Crit Care 1994;3:342-52
  14. Cull C, Inwood H. Weaning patients from mechanical ventilation. Prof Nurse 1999;14:535-8
  15. Norton L. The role of the specialist nurse in weaning patients form mechanical ventilation and the development of nurseled approach. Nurs Crit Care 2000;5:220-7
  16. Price AM. Nurse-led weaning from mechanical ventilation: where’s the evidence? Intensive Crit Care Nurs 2001;17:167-76
  17. Haris J. Weaning from mechanical ventilation: relating the literature to nursing practice. Nurs Crit Care 2001;6:226-31
  18. Goodman S. Implementing a protocol for weaning patients off mechanical ventilation. Nurs Crit Care 2006;11:23-3