Rescue Techniques In Nursing

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Franco, Enders, Wilson, Gajic, and Pannu (2016) conducted a retrospective study that reviewed the patterns and results of rescue techniques used in patients that suffered from severe hypoxemia. The researchers defined severe hypxemia as the failure to attain enough arterial oxygen while on oxygen or because of an injury due to the change in pressure, barotrauma. The article stated that previous studies have studied the techniques used in the rescue of the patients, however, none of the studies conducted showed any survival benefits of the rescue techniques used. There was also another study done by the National Heart, Lung, and Blood Institute ARDS Clinical Trials Network (ARDSnet) that showed the patterns of the rescue techniques used seemed …show more content…
The rest of the patients were studied with none of the rescue techniques. In the patients with the rescue techniques, the Inhaled vasodilators was the most common technique used. The HFOV technique was the second most commonly used in the ICU. The prone position was mainly used in trauma and general surgical ICU. There was also a very low usage of EMCO in the study. However, none of the rescue techniques reduced the mortality rate in the hospital/ICU. The death rate in the subjects that were treated with the rescue techniques was 47.7%. This was a higher rate than the subjects that were not given the rescue techniques. The researchers think that the subjects being studied with the rescue techniques had “more profound oxygenation deficits and higher severity of illness scores, causing residual confounding despite statistical adjustment” (Franco, et al., 2016). Limitations that occurred in the study was there was no data on therapy limitations for all of the subjects, HIV and acquired immunodeficiency syndrome was very low in the subjects, some of the subjects had organ transplants which could have led to other infections, many of the subjects picked were white, and incorrect data could have been obtained from the web searches that were done. This was the first and largest study done that dealt with all of the rescue techniques and subjects with severe hypoxemia. Though the study didn’t show an improvement in mortality rates, the article states that there have been other studies showed an improved mortality rate with single rescue techniques. The researchers believe that “an algorithmic and pathophysiology-based approach” (Franco, et al., 2016) would be the most effective way to study the rescue techniques in patients with severe

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