Le conoscenze degli infermieri nella valutazione delle asincronie respiratorie
Abstract
Introduzione: durante la ventilazione meccanica l’interazione tra paziente e macchina è caratterizzata da un delicato equilibrio, spesso alterato da molteplici fattori capaci di generare asincronie. L’infermiere ha la possibilità e il dovere di riconoscere e segnalare tempestivamente le alterazioni del monitoraggio grafico.
Supporting Agencies
References
- kAREN G et al. Patient-ventilator dyssyn- chrony: clinical signi cance and implica- tions for practice. Crit Care Nurse. 2009. December; 29: 41-55.
- THILLE AW et al. Patient-ventilator asyn- chrony during mechanical ventilation: Prevalence and risk factors. Intensive Ca- re Med. 2006; 32:1515-22.
- CHAO DC et al. Patient-ventilator trigger asynchrony in prolonged mechanical ventilation. Chest. 1997; 112:1592-99.
- RACCA F, SquADRONE v, RANIERI vM. Patient ventilator interaction during the triggering phase.Respir Care Clin.2005;11(2):225- 45.
- kONDILI E, PRINIANAkIS g, gEORgOPOuLOS D. Pa- tient-ventilator interaction. Br J Anaesth. 2003;91:106-19.
- DICk CR, SASSOON CS. Patient-ventilator in- teractions. Clin Chest Med. 1996;17(3): 423-38.
- JAbLONSkI R. The experience of being me- chanically ventilated. Qual Health Res. 1994;4:186-207.
- MuRIAS g, vILLAgRA A, bLANCH L. Patient-ven- tilator dyssynchrony during assisted in- vasive mechanical ventilation. Minerva Anestesiol. 2013 Apr; 79(4):434-44.
- SASSOON CS et al. Assist-control mechan- ical ventilation attenuates ventilator-in- duced diaphragmatic dysfunction. Am J Respir Crit Care Med. 2004;170:626-32.
- PIquILLOuD L, vIgNAuX L, bIALAIS E, ROESELER J, SOTTIAuX T, LATERRE PF, JOLLIET P,TASSAuX D. Neu- rally adjusted ventilatory assist improves patient-ventilator interaction. Intensive Care Med. 2011;37:263-71.
- LEvINE S et al. Rapid disuse atrophy of dia- phragm bers in mechanically ventilated humans. N Engl J Med. 2008;358:1327- 35.
- NILSESTuEN JO, HARgETT kD. Using venti- lator graphics to identify patient-ven- tilator asynchrony. Respir Care. 2005 Feb;50(2):202-34.
- FAN E, vILLAR J, SLuTSky AS. Novel approach- es to minimize ventilator-induced lung injury. BMC Med. 2013;11: 85.
- bIEHL M, kASHIOuRIS Mg, gAJIC O. Ventila- tor-induced lung injury: minimizing its impact in patients with or at risk for AR- DS. Respir Care. 2013 Jun;58(6):927-37.
- NATTINO g, CARRARA g, ROSSI C, FLEMINg J, NAT- TINO g, NAvA L, bERTOLINI g. Progetto prosa- fe, Rapporto nazionale TI polivalenti (178 TI), GiViTI. Giugno 2014.
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