A protocol for initiation of nasal positive pressure ventilation.

C. K. Spessert, P. B. Weilitz, D. M. Goodenberger

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

BACKGROUND: Respiratory failure related to neuromuscular weakness has commonly been managed with long-term ventilation by tracheostomy. Currently, nasal positive pressure ventilation is being used with success in this patient population. It has been suggested that initiation of nasal positive pressure ventilation is best done in an intensive care setting. METHOD: Nine patients were placed on nasal ventilation during a brief admission to a medical floor staffed by nurses trained in respiratory care. This process was facilitated by use of a standardized protocol for nursing staff that identified treatment objectives. RESULTS: Following the initiation of nasal positive pressure ventilation, this group of patients experienced near normalization of daytime measurements of partial pressure of arterial carbon dioxide, reported increases in daytime energy levels, and relief of nighttime signs and symptoms. These objectives were accomplished with no significant complications. Use of this protocol may also decrease length and cost of hospitalization and improve patient acceptance of noninvasive ventilatory assistance.

Original languageEnglish (US)
Pages (from-to)54-60
Number of pages7
JournalAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses
Volume2
Issue number1
StatePublished - Jan 1993

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Positive-Pressure Respiration
Nose
Ventilation
Partial Pressure
Tracheostomy
Nursing Staff
Critical Care
Carbon Dioxide
Respiratory Insufficiency
Signs and Symptoms
Hospitalization
Nurses
Costs and Cost Analysis
Population
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)

Cite this

A protocol for initiation of nasal positive pressure ventilation. / Spessert, C. K.; Weilitz, P. B.; Goodenberger, D. M.

In: American journal of critical care : an official publication, American Association of Critical-Care Nurses, Vol. 2, No. 1, 01.1993, p. 54-60.

Research output: Contribution to journalArticle

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