Principles of non-invasive ventilation: a critical review of practice issues

British Journal of Nursing - Tập 18 Số 16 - Trang 1004-1008 - 2009
Dhanishwar Pertab1
1De Montfort University, Falculty of Health and Life Sciences, School of Nursing and Midwifery, Leicester.

Tóm tắt

This article is the second of a two-part review on mechanical ventilation, with particular emphasis on the practice of non-invasive ventilation. Part 1 explored the principles underpinning artificial ventilation. It went on to explain the difference between positive and negative pressure ventilation, and differentiated between invasive and non-invasive modes of ventilation. Finally, it examined the various operational features, flexibility in use and limitations that artificial ventilation therapy presents. In this second part, the article focuses on the practice of non-invasive ventilation. It addresses the indications and contraindications, patient selection, initiation, maintenance, weaning processes, and problems specifically associated with non-invasive ventilation. Practical remedies are explored and potential areas for research are indicated.

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Tài liệu tham khảo

Titrate, 2006, initiate IPAP from base of 5cm H2O and gradually increase at a rate of 2-3cm up to a range of 10-20cm H2O (Sharma

Aim, 2006, but avoid IPAP pressure of above 20cm H2O.Titrate expiratory positive airway pressure with a pressure support range of 3-10cm H2O (Sharma

Administer, 2006, corticosteroids and antibiotics (Christie et al

Sharma, 2006, states that adverse haemodynamic effects are

10.1183/09031936.96.09040795

Anaesthesia UK, 2005, Non-invasive ventilation.Available at: http://www.frca. co.uk/article.aspx?articleid=100430 (accessed

10.3949/ccjm.68.8.677

Barnett M, 2006, Chronic Obstructive Pulmonary disease in Primary Care

10.12968/bjon.1999.8.20.1355

Brochard L, 1996, Resp Care, 41, 456

10.1136/thorax.57.3.192

10.1378/chest.114.6.1636

10.1136/bmj.333.7559.138

Cull C, 1999, Weaning patients from mechanical ventilation.Prof Nurse 14(8): 535-8

Department of Health, 2000, London

Griffiths J, 2007, Non-invasive ventilation on the ICU. Anaesthesia UK. Available at: http://www.frca.co.uk/article.aspx?articleid=100844 (accessed

10.12968/bjon.2009.18.9.42254

10.12968/bjon.2006.15.14.21576

Jones S, 1995, Nurs Times, 91, 32

Kaul S, 2005, The Airways Journal, 3, 155

10.1016/S0964-3397(02)00074-5

10.1136/bmj.326.7382.185

10.1378/chest.95.4.865

10.1164/ajrccm.163.2.9906116

10.1016/S0140-6736(00)02323-0

Royal College of Physicians, 2008, London

Sharma S, 2006, Noninvasive. Emedicine. Available at: http:// emedicine.medscape.com/article/304235-overview (accessed

10.1201/b14653-38

10.7748/ns2003.09.18.2.41.c3464

Woodrow P, 2006, Intensive Care Nursing: A framework for practice. Routlege, 10.4324/9780203965559