scholarly journals Endotracheal tube verification in adult mechanically ventilated patients

2015 ◽  
Vol 31 (1) ◽  
pp. 20
Author(s):  
Portia Jordan ◽  
Wilma Ten Ham ◽  
Danielle Fataar
Keyword(s):  
Endotracheal Tube ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

scholarly journals Communication with invasive mechanically ventilated patients and the use of alternative devices: integrative review

2018 ◽  
Vol 23 (7) ◽  
pp. 614-630 ◽  
Author(s):  
Aziza Salem ◽  
Muayyad M Ahmad
Keyword(s):  
Endotracheal Tube ◽  
Nursing Care ◽  
Effective Communication ◽  
Patient Communication ◽  
Communication Strategy ◽  
Integrative Review ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Communication Barrier ◽  
Ventilated Patients

Background Communication with patients has always been a major concern in nursing care. Invasive mechanically ventilated (IMV) patients suffer from a communication barrier due to the presence of the endotracheal tube (ETT), which makes them unable to communicate through speech. Aim The purpose of this review is to examine available evidence regarding existing knowledge, skills, perceptions and barriers to IMV patient communication in order to guide the development of strategies that enhance effective communication with these patients. Methods A review of the published literature was conducted between January 2010 and December 2016. Results The literature support clear and concise communication in all areas of care, especially when patients suddenly become speechless. Invasive mechanically ventilated patients want to be heard, have control over their treatment and contribute to decisions concerning their health. Conclusion There is a need for the establishment of an effective nurse -patient communication strategy, which may include determining the mode of communication used by the patient, waiting and giving time to allow a patient to participate in the communication, confirming the message that was communicated with a patient himself/ herself, and the use of assistive and augmented communication to support comprehension when needed.

scholarly journals Community analysis of dental plaque and endotracheal tube biofilms from mechanically ventilated patients

2017 ◽  
Vol 39 ◽  
pp. 149-155 ◽  
Author(s):  
Poala J. Marino ◽  
Matt P. Wise ◽  
Ann Smith ◽  
Julian R. Marchesi ◽  
Marcello P. Riggio ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Dental Plaque ◽  
Community Analysis ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

scholarly journals Incidence and Risk Factors for Delirium among Mechanically Ventilated Patients in an African Intensive Care Setting: An Observational Multicenter Study

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Arthur Kwizera ◽  
Jane Nakibuuka ◽  
Lameck Ssemogerere ◽  
Charles Sendikadiwa ◽  
Daniel Obua ◽  
...  
Keyword(s):  
Mental Illness ◽  
Intensive Care ◽  
Endotracheal Tube ◽  
Statistical Significance ◽  
Multivariable Analysis ◽  
Respiratory Acidosis ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
History Of ◽  
Ventilated Patients

Aim. Delirium is common among mechanically ventilated patients in the intensive care unit (ICU). There are little data regarding delirium among mechanically ventilated patients in Africa. We sought to determine the burden of delirium and associated factors in Uganda.Methods. We conducted a multicenter prospective study among mechanically ventilated patients in Uganda. Eligible patients were screened daily for delirium using the confusional assessment method (CAM-ICU). Comparisons were made usingt-test, chi-squares, and Fisher’s exact test. Predictors were assessed using logistic regression. The level of statistical significance was set atP<0.05.Results. Of 160 patients, 81 (51%) had delirium. Median time to onset of delirium was 3.7 days. At bivariate analysis, history of mental illness, sedation, multiorgan dysfunction, neurosurgery, tachypnea, low mean arterial pressure, oliguria, fevers, metabolic acidosis, respiratory acidosis, anaemia, physical restraints, marital status, and endotracheal tube use were significant predictors. At multivariable analysis, having a history of mental illness, sedation, respiratory acidosis, higher PEEP, endotracheal tubes, and anaemia predicted delirium.Conclusion. The prevalence of delirium in a young African population is lower than expected considering the high mortality. A history of mental illness, anaemia, sedation, endotracheal tube use, and respiratory acidosis were factors associated with delirium.

scholarly journals Prevalence and predictors of an out-of-range cuff pressure of endotracheal tube in mechanically ventilated patients in a teaching hospital in Iran

2020 ◽  
Vol 24 (5) ◽  
Author(s):  
Hamidreza Hemmati ◽  
Shahrzad Izadi ◽  
Setareh Soltani ◽  
Fatemeh Aghamohammadlou ◽  
Majid Mirmohammadkhani
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Endotracheal Tube ◽  
Teaching Hospital ◽  
High Pressures ◽  
Cuff Pressure ◽  
Normal Range ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

Background: The study aimed to investigate the out-of-range cuff pressure of endotracheal tube in mechanically ventilated patients. Methodology: This cross-sectional study was performed in Semnan, Iran in 2019. The cuff pressure was measured in patients aged over 18 years who were intubated for at least 24 hours. Out-of-range pressure was defined as a pressure of < 20 cmH2O or > 30 cmH2O. A multiple logistic regression model was used for analysis. Results: Of 222 cases, 67 (30.2%) had cuff pressure in the normal range and 155 (69.8%) were not in the normal range; 41 (18.5%) and 114 (51.4%) had low and high pressures. The two groups were not significantly different in terms of age and gender. Longer mechanical ventilation (p = 0.004) and hospitalization place (p = 0.001) were the two factors that had a relationship with the out-of-range pressure. The probability of out-of-range pressure was significantly higher in the cardiac (p = 0.001, OR = 6.91) and internal medicine (p = 0.008, OR = 4.61), compared to the emergency intensive care unit. Conclusion: The authorities should take into consideration some important factors, such as the lack of instructions in hospital units, lack of proficiency for correct measurement, deficient required facilities, and not using the facilities for regular monitoring. Keywords: Mechanical Ventilation, Endotracheal Intubation, Airway Management, Pressure. Citation: Hemmati H, Izadi S, Soltani S, Aghamohammadlou F, Mirmohammadkhani M. Prevalence and predictors of an out-of-range cuff pressure of endotracheal tube in mechanically ventilated patients in a teaching hospital in Iran. Anaesth. pain intensive care 2020;24(5): Received: 20 June 2020, Reviewed: 24, 28 June 2020, Accepted: 1 July 2020

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