Nursing Care of the Ventilated Infant
- Kimberly LaMar ND, NPD-BC
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As nurses spend 24 h per day with the newborn in an intensive care nursery, nursing care is essential to the eventual recovery and discharge of these fragile patients.
History taking assists in focusing on an area while keeping the mind open to other possibilities. It is also important to know environmental and community/epidemiological impacts (e.g., onset of Respiratory Syncytial Virus season).
Maternal, including past and existing medical conditions
Normal physiology, pathophysiology, and embryology are key to understanding the concepts of respiratory disease in the neonate.
Sleeping, awake, alert, crying or motions of crying, if ventilated
Must be an objective assessment as patient cannot give subjective feedback
A number of pain scales and stress scales are available for use with neonates including preterm and ventilated babies
Generalized color as well as central color deter ...
- Balaguer A, Escribano J, Roque M. Infant position in neonates receiving mechanical ventilation. Cochrane Database Rev. 2003. Taken from http://www.nichd.nih.gov/cochrane/Balaguer/balaguer.htm.
- Bassani M, Mezzacappa Filho F, Coppo M, Marba S. Peak pressure and tidal volume are affected by how the neonatal self-inflating bag is handled. J Pediatr. 2009;85(3):217–22.
- Chang Y, Anderson G, Dowling D, Lin C. Decreased activity and oxygen desaturation in prone ventilated preterm infants during the first postnatal week. Heart Lung. 2002a;31(1):34–42. CrossRef
- Chang Y, Anderson G, Lin C. Effects of prone and supine positions on sleep state and stress responses in mechanically ventilated preterm infants during the first postnatal week. J Adv Nurs. 2002b;40(2):161–9. CrossRef
- Claure N, Bancalari E, D’Ugard C, Nelin L, Stein M, Ramanathan R, Hernandez R, Donn SM, Becker M, Bachman T. Multicenter crossover trial of automated adjustment of inspired oxygen in mechanically ventilated preterm infants. Pediatrics. 2011;127:e76–83. CrossRef
- Hodge D. Endotracheal suctioning and the infant: a nursing care protocol to decrease complications. Neonatal Netw. 1991;9(5):7–15.
- Loveless R, Demers B, Linn W. Approaching the RSV season with a nursing plan of action. Pediatr Nurs. 1995;21(6 Suppl):1–4.
- Pritchard M, Flenady V, Woodgate P. Preoxygenation for tracheal suctioning in intubated, ventilated newborn infants. Cochrane Database Rev. 2002. Taken from http://www.nichd.nih.gov/cochrane/pritchard/pritchard.htm.
- Solberg M, Hansen T, Bjork R. Nursing assessment during oxygen administration in ventilated preterm infants. Acta Paediatr. 2011;100(2):193–7. CrossRef
- Spence K, Gillies D, Waterworth L. Deep versus shallow suction of endotracheal tubes in ventilated neonates and young infants. Cochrane Database Rev. 2003. Taken from http://www.nichd.nih.gov/cochrane/Spence2/spence.htm.
- Spence K, Smith J, Peat J. Accuracy of weighing simulated infants with in-bed and freestanding scales while connected and disconnected to a ventilator. Adv Neonatal Care. 2003b;3(1):27–36. CrossRef
- Swinth J, Anderson G, Hadeed A. Kangaroo (skin to skin) care with a preterm infant before, during and after mechanical ventilation. Neonatal Netw. 2003;22(6):33–8.
- Wells D, Gillies D, Fitzgerald D. Positioning for acute respiratory distress in hospitalized infants and children. Cochrane Database Syst Rev. 2005;18(2):CD003645.
- Wielenga J, DeVos R, de Leeuw R, De Haan R. COMFORT scale: a reliable and valid method to measure the amount of stress of ventilated preterm infants. Neonatal Netw. 2004;23(2):39–44. CrossRef
- Wilson G, Hughes G, Rennie J, Morley C. Evaluation of two endotracheal suction regimes in babies ventilated for respiratory distress syndrome. Neonatal Netw. 1992;11(7):43–5.
- Woodgate P. Tracheal suctioning without disconnection in intubated ventilated neonates. Cochrane Database Rev. 2001. Taken from http://www.nichd.nih.gov/cochrane/Woodgate2/Woodgate.htm.
- Wrightson D. Suctioning smarter: answers to eight common questions about endotracheal suctioning in neonates. Neonatal Netw. 1999;18(1):51–5.
- Yokum F. Nursing documentation. 2004. Taken from http://www.awarenessproductions.com.
- Nursing Care of the Ventilated Infant
- Book Title
- Manual of Neonatal Respiratory Care
- pp 693-703
- Print ISBN
- Online ISBN
- Springer US
- Copyright Holder
- Springer Science+Business Media, LLC
- Additional Links
- Industry Sectors
- eBook Packages
- Editor Affiliations
- ID1. C.S. Mott Children’s Hospital, Division of Neonatal-Perinatal Medicine, Professor of Pediatrics
- ID2. University of Durham, Consultant in Ped and Neonatal Medicine, Professor of Pediatrics
- Author Affiliations
- 1. Chamberlain College of Nursing, Phoenix Campus, 2149 W Dunlap Ave, Phoenix, AZ, 85021, USA
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