A Two-Group Trial of a Terminal Ventilator Withdrawal Algorithm: Pilot Testing.
作者： Margaret L. Campbell , Hossein N. Yarandi , Michael Mendez
关键词: Usual care 、 Natural death 、 Mechanical ventilation 、 Physical therapy 、 Algorithm 、 Medicine 、 In patient 、 Repeated measures design 、 Group trial 、 Respiratory distress 、 Distress
摘要: Abstract Background: Terminal ventilator withdrawal entails cessation of mechanical ventilation to allow a natural death. There is little empirical evidence guide the conduct this procedure. If process not well conducted, patients undergoing terminal are at high risk for experiencing significant respiratory distress. Objectives: Our aim was (1) establish feasibility nurse-led algorithmic approach; (2) determine differences in patient comfort between groups; and (3) use opioids benzodiazepines. Methods: A prospective, two-group, repeated measures, observation design used with nurses from one medical intensive care unit (MICU) conducting algorithm second MICU providing unstandardized usual care. Patient comfort/distress measured Respiratory Distress Observation Scale (RDOS). Results: Nurses therapists were trained follow one-hour educationa...
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