Mechanical Ventilator

Improved Essays
Ventilator-associated pneumonia (VAP) is a type of pneumonia that is acquired by being on a mechanical ventilator. Cutler and Sluman (2013) describe pneumonia as an inflammatory illness within the lungs that is due to some type of infectious agent. That infectious agent could be viral, bacterial, or from an environmental fungal source (Cutler & Sluman, 2013). A mechanical ventilator is a type of hospital device that effectively and efficiently maintains breathing. A ventilator essentially breathes for the patient in cases where the patient is not capable of breathing on their own. Any patient who is mechanically ventilated is at risk for developing pneumonia. Chao, Chen, Wang, Lee, and Tsai (2008) describe some risk factors for developing VAP, which is the lack of oral hygiene, infrequent body positioning, and violation of infection control by nurses or physicians to name a few. …show more content…
Andrews (2014) describes that VAP can cause a variety of problems in the intensive care unit (ICU), like increasing the risk of death and disease in patients. VAP can lead to a patient having to be on mechanical ventilation longer, it may affect the length of the patient’s hospital stay, and it can increase the costs for the hospital (Andrews, 2014). Andrews (2014) also explains that VAP is a form of hospital-acquired pneumonia, or nosocomial pneumonia, and is mostly prevalent in ICU patients who are mechanically ventilated. Being on a ventilator for forty-eight hours or more can increase a patient’s risk of developing VAP (Andrews, 2014). The mechanical ventilation can be performed through either having a tracheotomy or an endotracheal tube (ETT) (Andrews, 2014). A tracheotomy or an endotracheal tube are basically an artificial airway for the patient to be connected to the ventilator to support

Related Documents

  • Improved Essays

    Per a review of current literature, thoracostomy tubes should initially be placed to -20cm suction (Davis et al. 1994). Hemothorax in trauma patients requiring chest tube placement with >1500mL initial output or >200mL/hour for 3 hours should be taken to the operating room for exploration of the chest for thoracic injury and control of bleeding (Martin et al.…

    • 750 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    N401 Clinical Journal

    • 1235 Words
    • 5 Pages

    This week in the CCC my patient was on a ventilator and was suffering from respiratory distress post-operatively. The patient was intubated for a coronary artery bypass surgery then my patient was extubated 72 hour after the surgery. The patient went into respiratory distress and was soon reintubated. The patient was very lethargic and compliment all throughout this procedure. Evaluation: The nurses roll…

    • 1235 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Class I Recall from CareFusion for AVEA Ventilator CareFusion has recalled the AVEA Ventilator, which the FDA has identified as a Class I recall. This is the most serious class of recalls because using the device can result in serious injury or even death. Several components have been recalled related to this product: • Refurbished AVEA standard with compressor ventilator • AVEA comprehensive ventilator • AVEA standard ventilator • AVEA standard ventilator with compressor • Refurbished AVEA comprehensive ventilator • Refurbished AVEA standard ventilator • Refurbished AVEA standard ventilator with compressor • TCA board • 1st generation GDE • GDE • Refurbished GDE • AVEA GDE/UIM upgrade kit The manufacturing dates for these items was November 13, 2015 to January 4, 2016. They were distributed between December 16, 2015 and February 15, 2016.…

    • 555 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    PONV Case Study

    • 264 Words
    • 2 Pages

    PONV has a significant impact on the patient and on the healthcare facility. Healthcare facilities are seeing increased costs related to PONV due to the resulting complications, unanticipated admission, prolonged nursing care, and delayed PACU or hospital discharge (Kovac, 2013). Not only is PONV a huge patient dissatisfier, there are life-threatening risks associated with this complication including aspiration pneumonia, esophageal rupture, subcutaneous emphysema, and bilateral pneumothoraxes (Hambridge, 2013). In a study completed by Parra-Sanchez et al. (2012), it was determined that the cost of care for patients that experienced PONV was approximately seventy-five dollars more expensive compared to patients who did not experience PONV.…

    • 264 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    As vasoconstriction increases due to increased pulmonary vascular resistance hypoxia occurs and eventually respiratory acidosis and is monitored through arterial blood gases (Kuhajda et al., 2014). Upon examination patient appears to be in respiratory distress - gasping for air and tracheal deviation as the lung space has decreased and pressures continue to rise, neck vein distention due to altered cardiac output, cyanosis and agitation set in as time goes on due to hypoxia and the increasing difficulty to breath (Crimlisk, 2010). Palpation reveals subcutaneous emphysema as air is trapped within the tissues. Upon listening to the patients chest there is reduced air entry and percussion reveals hyperresonance (Kuhajda et al., 2014). Generally, air enters the pleural space which shifts the equilibrium causing pressure on the surrounding organs and decreases adequate perfusion and…

    • 1531 Words
    • 7 Pages
    Improved Essays
  • Decent Essays

    Hello Wendelyn! Venous thrombolytic events (VTE), including deep vein thrombosis (DVT) and pulmonary emboli (PE), are the most preventable causes of death in hospitalized or recently hospitalized patients (McCaffrey & Blum, 2009). Statistics have shown that over 2 million patients experience a hospital-acquired or nosocomial VTE within 30 days of hospital admission. Given this data, healthcare providers should be aware that patients remain at risk for VTE after hospital discharge.…

    • 224 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Summary: Candice Joah

    • 1040 Words
    • 5 Pages

    It is vital that the team help educate the patient with medication, how to use instruments that they are exposed to, and therapeutic skills that they can do once they are discharged. It is essential that teams observe the patient and let them demonstrate what they’ve been taught. Breath sounds are normally clear or scattered fine crackles at bases, which clear with deep breathing. The presence of coarse crackles during late respiration indicates an airway obstruction, teams should help educate each other on the patient's condition and what to expect to care for the patient more effectively. The semi fowlers position, with the head of the bed elevated 45 degrees, allows the diaphragm to expand.…

    • 1040 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The patient coughs a lot because of the lungs trying to clean themselves. Pneumonia, bronchiolitis, and bronchitis are common but the most common infecting organisms are the bacteria Staphylococcus aureus, Haemophilus influenzae, and Pseudomonas aeruginosa. Tiredness, shortness of breath, and not being able to exercise is common because the difficulty of getting enough air. If there are frequent respiratory infections, it leads to the last joint of the fingers and toes becoming slightly enlarged. Patients also have sweat that is much saltier than average.…

    • 413 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    End-Stage COPD Case Study

    • 838 Words
    • 4 Pages

    1. Describe the procedure/surgery and/or treatment and include associated complications I assisted in the care of two patients while in the critical care unit today. One of my patients was suffering from end-stage chronic obstructive pulmonary disease, while the other was experiencing an outbreak of shingles. The patient with end-stage COPD was a 57-year-old female patient, who has been hospitalized for shortness of breath related to her COPD numerous times in the past few months.…

    • 838 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    PE is a clot within the lungs which usually derives from the DVT. There are multiple risk factors for VTE including venous stasis, hypercoagulable states, immobilization, surgery and trauma, pregnancy, oral contraceptives and estrogen replacement, and malignancy. It is believed that approximately 1 million cases of VTE occur in the U.S. each year, resulting in 300,000 deaths annually, but the exact incidence of VTE is unknown. DVT and PE, are among the most common preventable causes of in-hospital mortality, according to…

    • 955 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    could indicate that she has type two respiratory failure. The main aims when treating type two respiratory failure is directed at reversing the underlying cause. Non-invasive ventilation with a tight-fitting facial or nasal mask with low levels of oxygen therapy often stabilizes these patients. When a patient is suffering from type two respiratory failure, the effectiveness of a peak flow would not affect the treatment given directly, especially when time critical, however, in none emergency situations, it proves successful in measuring how fast a person can exhale and forced expiratory volume. It can be used to measure the effectiveness of treatments such as nebulisers and inhalers have been administered.…

    • 739 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    This building also includes a therapy unit for people who have had a recent surgery and need physical therapy during their recovery process, a unit for retired people who can no longer care for themselves at home alone, and a unit dedicated to people with a tracheostomy that require a ventilator to assist them in breathing. A tracheostomy is a surgical opening through the trachea. This is necessary for someone who is unable to maintain their own airway. The ventilator is connected to the tracheostomy which will then maintain a constant airflow for the patient to breathe. For the first time in my three years of employment at this facility I worked on the “vent” unit, as it is refer to it in the medical field.…

    • 1653 Words
    • 7 Pages
    Superior Essays
  • Great Essays

    Pathophysiology Q 1.1. Chronic obstructive pulmonary disease is the name applied to two related diseases, emphysema and chronic bronchitis. Chronic obstructive pulmonary disease is characterised by abnormal inflammatory obstruction of the airways, lung parenchyma, (respiratory bronchioles and alveoli) and pulmonary blood vessels (Brown, 2013). Research shows that COPD is being recognised as an inflammatory disorder of the large and small airways characterized by remodelling and emphysematous changes in the lung parenchyma (Ceylan, 2006). Thereby this represents characteristic and adaptive immune reaction to long term exposure to airborne contaminates and cigarette smoke (MacNee, 2006).…

    • 1330 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    The relationship between the use of oral care and the occurrence of ventilator-associated pneumonia (VAP) in critical care patients is very intriguing to me. Since I have started nursing school, I have always had an interest in the trauma area of nursing. In my medical-surgical clinical rotation, I had the opportunity to spend the day working alongside a nurse in the emergency room. Emergency and trauma nursing have always been of interest to me, even before I started nursing school. I ended up enjoying my day in the emergency room…

    • 475 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    DROPLET PRECAUTIONS These are used for organisms that can be transmitted by close, face-to-face contact, such as influenza or meningococcal meningitis. Droplet precautions include the following: ◊ Place client in private room ◊ If a private is not available, place client with another client who is infected with the same microorganism ◊ Wear a mask if working within 3 feet of the client. ◊ Limit movement of client outside the room to essential purposes. ◊ Place a surgical mask on the client during transport.…

    • 800 Words
    • 4 Pages
    Improved Essays