Meitner Cassandra, Feuerstein Rachel A, Steele Andrea M
Department of Small Animal Clinical Medicine, Small Animal Emergency and Critical Care, University of Tennessee College of Veterinary Medicine, University of Tennessee, Knoxville, TN, United States.
Ontario Veterinary College, Health Sciences Centre, University of Guelph, Guelph, ON, Canada.
Front Vet Sci. 2023 Jul 28;10:1145758. doi: 10.3389/fvets.2023.1145758. eCollection 2023.
The goal of this manuscript is to provide a comprehensive and multi-disciplinary review of the best nursing practices of caring for mechanically ventilated patients. By reviewing human medicine literature, the authors will extrapolate procedures that have been found to be most effective in reducing the risk of mechanical ventilation (MV) complications. Paired with review of the current standards in veterinary medicine, the authors will compile the best practice information on mechanically ventilated patient care, which will serve as a detailed resource for the veterinary nursing staff. Written from a nursing standpoint, this manuscript aims to consolidate the nursing assessment of a mechanically ventilated patient, addressing both systemic and physical changes that may be encountered during hospitalization. The goal of this review article is to present information that encourages a proactive approach to nursing care by focusing on understanding the effects of polypharmacy, hemodynamic changes associated with MV, complications of recumbent patient care, and sources of hospital acquired infections. When applied in conjunction with the more technical aspects of MV, this manuscript will allow veterinary technicians involved in these cases to understand the dynamic challenges that mechanically ventilated patients present, provide guidance to mitigate risk, address issues quickly and effectively, and create an up-to date standard of practice that can be implemented.
本手稿的目的是对机械通气患者的最佳护理实践进行全面的多学科综述。通过回顾人类医学文献，作者将推断出已被发现对降低机械通气（MV）并发症风险最有效的程序。结合对兽医学当前标准的回顾，作者将汇编有关机械通气患者护理的最佳实践信息，这将为兽医护理人员提供详细的参考资料。从护理角度撰写，本手稿旨在巩固对机械通气患者的护理评估，阐述住院期间可能出现的全身和身体变化。这篇综述文章的目的是通过关注理解多药联用的影响、与MV相关的血流动力学变化、卧位患者护理的并发症以及医院获得性感染的来源，来呈现鼓励积极主动护理方法的信息。当与MV的更多技术方面结合应用时，本手稿将使参与这些病例的兽医技术人员了解机械通气患者所带来的动态挑战，提供降低风险的指导，快速有效地解决问题，并创建可实施的最新实践标准。
