Abstract
Objective: to identify the impact of rehabilitation nursing interventions on early weaning of people undergoing invasive mechanical ventilation. Method: a descriptive and cross-sectional pilot study applied to persons undergoing invasive mechanical ventilation in an accidental sample of five people. Modified Borg Scale, Glasgow Coma Scale and Pain Scale were used. Results: through the interventions included in the early rehabilitation program, there was an improvement in the dyspnea index, with a direct relation to the success rate in weaning the person undergoing invasive mechanical ventilation. Conclusion: the patients included in this study underwent an effective ventilatory weaning process and the extubation procedure was successfully performed, being transferred from the Intensive Care Unit to their destination inpatient services, no need for mechanical ventilatory support. The most significant gains in respiratory function were the gains in symptomatic pain control and level of consciousness.
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References
MacIntyre, N., Epstein, S., Carson, S., Scheinhorn, D., Christopher, K., Muldoon, S.: Management of patients requiring prolonged mechanical ventilation: report of a NAMDRC consensus conference. Chest 128(6), 3937–3954 (2005). https://doi.org/10.1378/chest.128.6.3937
Cederwall, C., Plos, K., Rose, L., Dübeck, A., Ringdal, M.: Critical care nurses management of prolonged weaning: an interview study. Nurs. Crit. Care 19(5), 236–242 (2014). https://doi.org/10.1111/nicc.12092
Dunn, H., Quinn, L., Corbridge, J., Eldeirawi, K., Kapella, M., Collins, G.: Mobilization of prolonged mechanical ventilation patients: an integrative review. Heart Lung 46(4), 221–233 (2017). https://doi.org/10.1016/j.hrtlng.2017.04.033
Ambrosino, N., Venturelli, E., Vagheggini, G., Clini, E.: Rehabilitation, weaning and physical therapy strategies in chronic critically ill patients. Eur. Respir. J. 39(2), 487–492 (2012). https://doi.org/10.1183/09031936.00094411
Cordeiro, M., Menoita, E.: Manual de boas práticas na reabilitação respiratória. Conceitos, princípios e técnicas. Lusociência, Loures (2014)
Severino, S.: Enfermagem de Reabilitação à Pessoa submetida a Ventilação Mecânica. In: Marques Vieira, C., Sousa, L. (eds.) Cuidados de Enfermagem de Reabilitação à Pessoa ao Longo da Vida, pp. 365–380. Lusodidacta, Loures (2016)
Ordem dos Enfermeiros: Regulamento n.º 350/2015. Regulamento dos Padrões de Qualidade dos Cuidados Especializados em Enfermagem de Reabilitação. (2015). https://www.ordemenfermeiros.pt/arquivo/legislacao/Documents/LegislacaoOE/RegulamentoPadQualidadeCuidEspecializEnfReabilitacao_DRJun2015.pdf
Cameron, S., Ball, I., Cepinskas, G., Choong, K., Doherty, T., et al.: Early mobilization in the critical care unit: a review of adult and pediatric literature. J. Crit. Care 30(4), 664–672 (2015). https://doi.org/10.1016/j.jcrc.2015.03.032
Ntoumenopoulos, G.: Rehabilitation during mechanical ventilation: review of the recent literature. Intensive Crit. Care Nurs. 31(3), 125–132 (2015). https://doi.org/10.1016/j.iccn.2015.02.001
Hashem, M., Nelliot, A., Needham, D.: Early mobilization and rehabilitation in the ICU: Moving back to the future. Respir Care 61(7), 971–979 (2016). https://doi.org/10.4187/respcare.04741
Dong, Z., Yu, B., Sun, Y., Fang, W., Li, L.: Effects of early rehabilitation therapy on patients with mechanical ventilation. World J. Emerg. Med. 5(1), 48–52 (2014). https://doi.org/10.5847/wjem.j.issn1990-8642.2014.01.008
Lai, C., et al.: Early mobilization reduces duration of mechanical ventilation and intensive care unit stay in patients with acute respiratory failure. Arch. Phys. Med. Rehabil. 98(5), 931–939 (2016). https://doi.org/10.1016/j.apmr.2016.11.007
Albuquerque, I., Machado, A., Carvalho, M., Soares, J.: Impact of early mobilization in Intensive care patient. Salud(i)Ciencia 21, 403–406. (2015). https://www.siicsalud.com/dato/sic/214/146066.pdf
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Amorim, R., Ferreira, R., Costa, A.D., Vieira, J.V., Fonseca, C. (2020). Early Weaning of People Undergoing Invasive Mechanical Ventilation: The Impact of Rehabilitation Nursing Interventions. In: García-Alonso, J., Fonseca, C. (eds) Gerontechnology. IWoG 2019. Communications in Computer and Information Science, vol 1185. Springer, Cham. https://doi.org/10.1007/978-3-030-41494-8_24
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DOI: https://doi.org/10.1007/978-3-030-41494-8_24
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