https://doi.org/10.4081/scenario.2017.125

Il ruolo decisionale dell’infermiere nella gestione della ventilazione meccanica: un confronto tra la realtà italiana e quella spagnola

Authors

Alessandro Galazzi
webmaster@aniarti.it
Korneliusz Kilim
Gian Domenico Giusti
Ilaria Andresi
Ileana Adamini
Introduzione: la gestione ottimale della ventilazione meccanica e dello svezzamento richiede un processo decisionale dinamico e collaborativo per ridurre al minimo le complicanze ed evitare ritardi nell’estubazione. In assenza di collaborazione il processo di ventilazione può essere frammentato, incoerente e ritardato con un aumento della mortalità. Gli esiti dello svezzamento e della durata della
ventilazione meccanica sono positivamente influenzati dalla crescente partecipazione degli infermieri.

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sPerlingA r, BArnABino y, Peluso M, giusTi g.d, Frigerio s. Responsabilit infemieristica nel- la ventilazione invasiva e nel processo di svezzamento da respiratore automatico in terapia intensiva: un’indagine italiana. Scenario. 2017; 34 (1): 15-19.
rose l, BlACkwood B, egerod i, HAugdAHl Hs, HoFHuis J, isForT M, eT Al. Decisional respon- sibility for mechanical ventilation and we- aning: an international survey. Crit Care Lond Engl. 2011;15(6):R295.
BlACkwood B, AlderdiCe F, Burns k, CArdwell C, lAVery g, o’HAllorAn P. Use of wea- ning protocols for reducing duration of mechanical ventilation in critically ill adult patients: Cochrane systematic re- view and meta-analysis. BMJ. 2011 Jan 13;342:c7237.
kACMArek rM. The mechanical ventilator: past, present, and future. Respir Care. 2011 Aug;56(8):1170–80.
BlACkwood B, Burns keA, CArdwell Cr, o’HAllorAn P. Protocolized versus non-pro- tocolized weaning for reducing the dura- tion of mechanical ventilation in critically ill adult patients. Cochrane Database Syst Rev. 2014 Nov 6;(11):CD006904.
CouCHMAn BA, weTzig sM, Coyer FM, wHeel- er Mk. Nursing care of the mechanically ventilated patient: what does the eviden- ce say? Part one. Intensive Crit Care Nurs. 2007 Feb;23(1):4–14.
esTeBAn A, FruTos F, ToBin MJ, AlíA i, solsonA JF, VAlVerdú i, eT Al. A comparison of four methods of weaning patients from me- chanical ventilation. Spanish Lung Failure Collaborative Group. N Engl J Med. 1995 Feb 9;332(6):345–50.
PAn C, Qiu H. Improve survival from pro- longed mechanical ventilation: begin- ning with rst step. J Thorac Dis. 2015 Jul;7(7):1076–9.
ely ew, BAker AM, dunAgAn dP, Burke Hl, sMiTH AC, kelly PT, eT Al. Effect on the du- ration of mechanical ventilation of iden- tifying patients capable of breathing spontaneously. N Engl J Med. 1996 Dec 19;335(25):1864–9.
dAnCkers M, grosu H, JeAn r, Cruz rB, Fi- dellAgA A, HAn Q, eT Al. Nurse-driven, pro- tocol-directed weaning from mechani- cal ventilation improves clinical outco- mes and is well accepted by intensive care unit physicians. J Crit Care. 2013 Aug;28(4):433–41.
Bulleri e, Fusi C. Manuale di monitoraggio gra co della ventilazione meccanica. Guida pratica alla rilevazione delle asincronie. FareLibri; 2015.
rose l, nelson s, JoHnsTon l, Presneill JJ. Wor- kforce pro le, organisation structure and role responsibility for ventilation and wea- ning practices in Australia and New Zea- land intensive care units. J Clin Nurs. 2008 Apr;17(8):1035–43.
drigo e, MoggiA F, giusTi gd, FulBrook P, AlBArrAn Jw, BAkToFT B, sideBoTToM B. Studio osservazionale sul livello di conoscenze degli infermieri di Terapia Intensiva italiani. L’Infermiere 2012 49:6:e93-e100
FulBrook P, AlBArrAn Jw, BAkToFT B eT Al. A survey of European intensive care nurses’ knowledge levels. Int J Nurs Stud. 2012 49(2),191-200.
TingsVik C, JoHAnsson k, MårTensson J. We- aning from mechanical ventilation: fac- tors that in uence intensive care nurses’ decision-making. Nurs Crit Care. 2015 Jan;20(1):16–24.
rose l, BlACkwood B, Burns sM, FrAzier sk, egerod i. International perspectives on the in uence of structure and process of we- aning from mechanical ventilation. Am J Crit Care. 2011 Jan;20(1):e10-18.
kACMArek rM, durBin Cg, BArnes TA, kAgeler wV, wAlTon Jr, o’neil eH. Creating a vision for respiratory care in 2015 and beyond. Respir Care. 2009 Mar;54(3):375–89.
kydonAki k, HuBy g, ToCHer J, AiTken lM. Un- derstanding nurses’ decision-making when managing weaning from me- chanical ventilation: a study of novice and experienced critical care nurses in Scotland and Greece. J Clin Nurs. 2016 Feb;25(3–4):434–44.
dePAsse B, PAuwels d, soMers y, VinCenT Jl. A pro le of European ICU nursing. Intensive Care Med. 1998 Sep;24(9):939–45.
HAugdAHl Hs, sTorli s, rose l, roMild u, egerod i. Perceived decisional responsibility for mechanical ventilation and weaning: a Norwegian survey. Nurs Crit Care. 2014 Jan;19(1):18–25.
rose l, nelson s, JoHnsTon l, Presneill JJ. Deci- sions made by critical care nurses during mechanical ventilation and weaning in an Australian intensive care unit. Am J Crit Care. 2007 Sep;16(5):434–443; quiz 444.

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Galazzi, A., Kilim, K., Giusti, G. D., Andresi, I., & Adamini, I. (2018). Il ruolo decisionale dell’infermiere nella gestione della ventilazione meccanica: un confronto tra la realtà italiana e quella spagnola. Scenario® - Il Nursing Nella Sopravvivenza, 34(4), 34–38. https://doi.org/10.4081/scenario.2017.125

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