Dimensions of Critical Care Nursing. 28(6):253-263, NOVEMBER-DECEMBER 2009
DOI: 10.1097/DCC.0b013e3181b3ffdc
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PMID: 19855200
Issn Print: 0730-4625
Publication Date: November-December 2009
Noninvasive Positive Pressure Ventilation: An ABC Approach for Advanced Nursing in Emergency Departments and Acute Care Settings
Stefano Bambi;
+ Author Information
Stefano Bambi, RN, MSN, has been working as a registered nurse for 10 years in the Emergency Department of Azienda Ospedaliera Universitaria Careggi. He actually works as a registered nurse in the Emergency Intensive Care Unit. Since 2002, he has been a lecturer for emergency and critical care courses at the University of Florence in Italy.
Abstract
Noninvasive ventilation has become a widespread tool of treatment and support for patients in acute care settings. The treatment is used for various clinical conditions, particularly chronic obstructive pulmonary disease and acute cardiogenic pulmonary edema. The utilization of a simple nursing care checklist allows treatment in a systematic fashion. This article discusses the respiratory features of this topic: criteria for noninvasive ventilation, choice of the interface for acute clinical conditions, ventilators and modes of ventilation in noninvasive ventilation, management of setting parameters, patient/ventilator interactions, and monitoring.