PDF(Pubmed)
Abstract：
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.
摘要：
本手稿的目的是对护理机械通气患者的最佳护理实践进行全面和多学科的审查。通过回顾人类医学文献，作者将推断已发现最有效降低机械通气(MV)并发症风险的手术.与兽医现行标准的审查配对，作者将汇编机械通气患者护理的最佳实践信息，这将作为兽医护理人员的详细资源。从护理的角度来看，该手稿旨在巩固机械通气患者的护理评估，解决住院期间可能遇到的全身和身体变化。这篇综述文章的目的是提供信息，鼓励积极的方法来护理，重点是了解多药房的影响，与MV相关的血液动力学变化，卧位病人护理的并发症，以及医院获得性感染的来源。当与MV的更多技术方面一起应用时，这份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面临的动态挑战，提供降低风险的指导，快速有效地解决问题，并创建可以实施的最新实践标准。
