Ein Pflege-Beatmungskonzept – Teil 3

Zusammenfassung

Der Artikel beschreibt ein pflegerisches Beatmungskonzept, das auf dem Ethikkodex der Deutschen Gesellschaft für Fachkrankenpflege und Funktionsdienste (DGF) basiert und am Patientenerleben sowie verschiedenen Leitlinien orientiert ist. Zu einer „guten” Pflege von beatmeten Patienten fassen wir zehn verschiedene Aspekte in einem teamorientierten Konzept zusammen, nennen Indikationen, Strukturen, Prozesse (Assessments und Algorithmen) und mögliche Ergebnisse. Zur Pflege beatmeter Patienten gehören biografische Anamnese, Angehörigenbetreuung, Anteilnahme (Intensivtagebuch, Information, Nachsorge), Frühmobilisierung unter Beatmung, pulmonale Positionierung in der kritischen Beatmung und umgrenzende Positionierung in der Aufwachphase, leichte pflegegesteuerte Sedierung anhand von Vorgaben und ebensolche Analgesie, Anpassung der Beatmung durch Pflegende wie auch Weaning sowie Vermeidung von Komplikationen (VAP-Bundles, Airway-, BZ-Management, Ernährung, Delirscreening). Wir heben die möglichen Synergieeffekte hervor und möchten damit eine Diskussion anregen und gleichzeitig die Pflege von Beatmeten didaktisch etwas erleichtern. In Teil 3 werden der Aspekt der Komplikationsvermeidung sowie die abschließende Diskussion vorgestellt.

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