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Urträning ur ventilator – olika metoder och deras effekt

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Title: Urträning ur ventilator – olika metoder och deras effekt
Other Titles: Weaning from mechanical ventilation – different methods and their effect
Authors: Håkansson, Dan
Lindahl, Christin
Issue Date: 18-May-2021
Degree: Student essay
Keywords: Intensivvård
mekanisk ventilation
personcentrerad vård
Abstract: Bakgrund: Mekanisk ventilation är förutom att vara en livräddande åtgärd förknippat med flera komplikationer. Urträning ur ventilator är en viktig del av vården med mekanisk ventilation inom intensivvården. För att minska risken för komplikationer är det viktigt att starta urträning så fort patientens tillstånd tillåter det. Intensivvårdssjuksköterskan ansvarar för urträningen ihop med läkaren. Det finns tre olika metoder för urträning; individbaserad urträning, protokollstyrd urträning och auto... more
Description: Background: In addition to being a life-saving treatment, mechanical ventilation is associated with several complications. Weaning from mechanical ventilation is an important part of care with mechanical ventilation in intensive care unit and to reduce the risk of complications, it is important to start weaning as soon as the patient’s condition allows. The intensive care nurse is responsible for weaning together with the physician. There are three different methods of weaning; individual-based weaning, protocol-directed weaning and automized weaning. However, there are no general guidelines regarding weaning and the practice differs between different clinics. Therefore, it is of interest to investigate what effects these different methods have, how they affect duration of weaning and the patient’s length of stay at the intensive care unit. Aim: The purpose was to describe the effects of different models of weaning from mechanical ventilation. Method: A systematic literature review based on quantitative articles identified via systematic search in the databases Pubmed and Cinahl. Results: Ten articles were included and the result is reported according to the purpose and the research questions: How do different weaning models affect the time in the ventilator? How do the weaning models affect the total time in the intensive care unit? The result show that there is a great benefit in introducing protocol-directed weaning and automized weaning, both proved to be much more effective than individual clinical trials for shortening the duration of weaning and shorten the intensive care unit length of stay. Conclusion: The introduction of protocol-controlled or automized weaning shortened the time in weaning and reduced the time with mechanical ventilation compared to individual clinical trials without an increased risk of complications for the patient.
Appears in Collections:Magisteruppsatser / Institutionen för vårdvetenskap och hälsa



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