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Mechanical Ventilator

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Mechanical ventilation provides healthcare workers with a life-saving means of support for patients with various conditions and situations, such as sepsis or surgery. Although mechanical ventilation (MV) is life-saving it can cause damage if not managed well. For example, unnecessary prolonged MV can cause lung damage, infection and diaphragmatic dysfunction (Carl & Loik, 2012). Guidelines are statements intended to be used by clinicians as evidence-based references, to make their own judgments and decisions on a specific clinical situation (Haas & Loik, 2012). The objective of this specific guideline that this paper will review is providing evidence for weaning or discontinuing the mechanical ventilator. The purpose of implementing a guideline …show more content…
The first recommendation is treating all ventilator and non-ventilator issues in the patient (Haas & Loik, 2012). The second recommendation is an assessment of the patient including; adequate oxygenation, hemodynamic stability, inspiratory effort and reversal of respiratory failure (Haas & Loik, 2012). Recommendation three stated a spontaneous breathing trial (SBT) should be performed (Haas & Loik, 2012). It is recommended if the patient tolerates the SBT for 30-120 minutes prompt discontinuation should be considered, but does not give parameters for tolerance (Haas & Loik, 2012). The fourth recommendation is if the SBT is tolerated an assessment of airway patency and the ability of the patient to clear their own airway (Haas & Loik, 2012). Recommendation five stated if the SBT is failed, the trial be completed every 24 hours (Haas & Loik, 2012). The sixth recommendation is if the SBT is failed the patient should then receive support that is non-fatiguing and comfort measures addressed (Haas & Loik, 2012). Recommendation seven stated that sedation and ventilator management for postsurgical patients should be aimed for an early discontinuation of MV (Haas & Loik, 2012). Recommendation eight stated protocols for the use of nonphysician healthcare works should be created for the discontinuation of MV and sedation while MV (Haas & Loik, 2012). Recommendation nine stated that after the patient is stabilized on the MV and is requiring extended assistance a tracheostomy should be considered (Haas & Loik, 2012). Recommendation 10 stated a patient should not be considered ventilator dependent until they require MV for greater than three months with weaning attempts made or there is clear evidence of irreversible disease requiring MV (Haas & Loik, 2012). Recommendation 11 stated that when

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