Nursing of Mechanically Ventilated and ECMO Patient

Johannes Mellinghoff, Marta Velia Antonini

Research output: Chapter in Book/Conference proceeding with ISSN or ISBNChapterpeer-review

Abstract

Patients admitted to the Intensive Care Unit (ICU) for acute respiratory failure
(ARF) or acute respiratory distress syndrome (ARDS) have complex clinical needs,
starting with a demanding ventilatory management to provide oxygenation and
CO2 removal, preventing additional injury to the lungs. These critically ill patients are commonly unstable and may require additional interventions in spite of mechanical ventilation including prone positioning and extracorporeal life support. To ensure compliance with these treatments they often require prolonged periods of deep sedation and possibly paralysis, which impairs rehabilitation efforts and may lead to the development of psychological distress.
This short chapter aims to highlight the main peculiarities and challenges of
nursing care in ICU patients requiring mechanical ventilation, prone positioning,
and/or extracorporeal support
Original languageEnglish
Title of host publicationMechanical Ventilation From Pathophysiology to Clinical Evidence
EditorsGiacomo Bellani
PublisherSpringer-Verlag
Chapter11
Pages115-126
Number of pages11
ISBN (Electronic)9783030934019
ISBN (Print)9783030934019, 9783030934019, 9783030934002
DOIs
Publication statusPublished - 17 Mar 2022

Keywords

  • Critical care
  • Critical Care Nursing
  • Extracorporeal circulation
  • Prone Positioning
  • Acute respiratory failure
  • Mechanical ventilation
  • ARDS

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