Book contents
- Frontmatter
- Contents
- Acknowledgements
- List of Contributors
- Foreword
- Preface
- 1 Introduction: anaesthetic practice. Past and present
- 2 Risk assessment
- 3 ECG monitoring in the recovery area
- 4 The use of cricoid pressure during anaesthesia
- 5 Anaesthetic breathing circuits
- 6 Deflating the endotracheal tube pilot cuff
- 7 How aware are you? Inadvertent awareness under anaesthesia
- 8 Aspects of perioperative neuroscience practice
- 9 Resuscitation
- 10 Intravenous induction versus inhalation induction for general anaesthesia in paediatrics
- 11 Managing difficult intubations
- 12 Obstetric anaesthesia
- 13 Understanding blood gases
- 14 Total intravenous anaesthesia
- 15 Anaesthesia and electro-convulsive therapy
- 16 Mechanical ventilation of the patient
- 17 Perioperative myocardial infarction
- 18 Developing a portfolio
- 19 Accountability in perioperative practice
- Index
- References
16 - Mechanical ventilation of the patient
Published online by Cambridge University Press: 13 August 2009
- Frontmatter
- Contents
- Acknowledgements
- List of Contributors
- Foreword
- Preface
- 1 Introduction: anaesthetic practice. Past and present
- 2 Risk assessment
- 3 ECG monitoring in the recovery area
- 4 The use of cricoid pressure during anaesthesia
- 5 Anaesthetic breathing circuits
- 6 Deflating the endotracheal tube pilot cuff
- 7 How aware are you? Inadvertent awareness under anaesthesia
- 8 Aspects of perioperative neuroscience practice
- 9 Resuscitation
- 10 Intravenous induction versus inhalation induction for general anaesthesia in paediatrics
- 11 Managing difficult intubations
- 12 Obstetric anaesthesia
- 13 Understanding blood gases
- 14 Total intravenous anaesthesia
- 15 Anaesthesia and electro-convulsive therapy
- 16 Mechanical ventilation of the patient
- 17 Perioperative myocardial infarction
- 18 Developing a portfolio
- 19 Accountability in perioperative practice
- Index
- References
Summary
Key learning points
To understand the indications for mechanical ventilation
To appreciate the differing regimes of ventilatory support and their indications
To be able to describe the patient safety aspects of mechanical ventilation
To be able to indicate differing approaches to weaning from mechanical ventilation
Introduction
Mechanical ventilation is sometimes used within recovery areas and is commonly used in the intensive care setting to artificially ventilate persons who are unable to breathe spontaneously at all or are unable to provide themselves with adequate spontaneous ventilation to guarantee satisfactory gas exchange.
Post operative patients may occasionally require a short time on mechanical ventilation until they can be safely extubated, whilst those in an intensive care setting often require a longer period of ventilation.
Mechanically ventilated patients may need to be transported to other departments within the hospital, for example, to receive a scan, or to a different hospital for various reasons. Operating department practitioners (ODPs) play an important role in maintaining the safety of these patients during transfer. So, whilst it is imperative for the intensive care nurse to have a thorough understanding of the principles and mechanics of mechanical ventilation, ODPs and theatre staff must familiarise themselves with these principles to ensure the safest care of their patients.
This chapter will examine issues surrounding mechanical ventilation and the care of patients who are recovering from surgery.
Mechanical ventilation is the artificial control of the breathing cycle by means of a machine (Ashurst, 1997).
- Type
- Chapter
- Information
- Core Topics in Operating Department PracticeAnaesthesia and Critical Care, pp. 161 - 171Publisher: Cambridge University PressPrint publication year: 2007