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16 - Mechanical ventilation of the patient

Published online by Cambridge University Press:  13 August 2009

Brian Smith
Affiliation:
Edge Hill College of Higher Education, Liverpool
Paul Rawling
Affiliation:
Edge Hill College of Higher Education, Liverpool
Paul Wicker
Affiliation:
Edge Hill College of Higher Education, Liverpool
Chris Jones
Affiliation:
Edge Hill College of Higher Education, Liverpool
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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 Practice
Anaesthesia and Critical Care
, pp. 161 - 171
Publisher: Cambridge University Press
Print publication year: 2007

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References

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