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intensiv 2012; 20(02): 94-97
DOI: 10.1055/s-0032-1304785
Pflegewissenschaften
Respiratorweaning
Georg Thieme Verlag KG Stuttgart · New York

Respiratorweaning durch Pflegekräfte

Literaturrecherche
Christoph Ley
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Publication History

Publication Date:
28 February 2012 (online)

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Zusammenfassung

Langzeitbeatmeten Patienten fällt es oft besonders schwer, wieder ohne Beatmungsgerät auszukommen. Dieser Weaningprozess muss an die jeweilige Situation des Patienten individuell angepasst werden. Das legt nahe, diese Aufgabe in die Hände von Intensivpflegenden zu legen, denn niemand ist so nah an einem zu beatmenden Patienten und verbringt so viel Zeit mit ihm, wie die Pflegekräfte auf einer Intensivstation. Christoph Ley hat verschiedene Studien zu diesem Thema zusammengetragen.

 

  • Literatur

  • 1 MacIntyre NR. Evidence-based ventilator weaning and discontinuation. In: Respiratory Care. 2004. 49(7). 830-836
    Google Scholar
  • 2 Isfort M, Rose L, Schubert M et al. Pflegende übernehmen vielfach die Steuerung. In: PflegenIntensiv. 2011. 8(3). 6-13
    Google Scholar
  • 3 Thorens JB, Kaelin RM et al. Influence of the quality of nursing on the duration of weaning from mechanical ventilation in patients with chronic obstructive pulmonary disease. In: Critical Care Medicine. 1995. 23(11)). 1807-1815
    CrossrefGoogle Scholar
  • 4 Kollef MH, Shapiro SD et al. A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. In: Critical Care Medicine. 1997. 25(4). 567-574
    CrossrefGoogle Scholar
  • 5 Price AM et al. Nurse-led weaning from mechanical ventilation: where’s the evidence?. In: Intensive and Critical Care Nursing. 2001. 17(3). 167-176
    Google Scholar
  • 6 Wood G, MacLeod B, Moffatt S. Weaning from mechanical ventilation: Physician directed vs a respiratory therapist directed protocol. In: Respiratory Care. 1995. 40(3). 219-224
    CrossrefGoogle Scholar
  • 7 Djunaedi H, Cardinal P et al. Does a ventilatory management protocol improve the care of ventilated patients?. In: Respiratory Care. 1997. 42(6). 604-610
    Google Scholar
  • 8 Tonnelier JM, Prat G et al. Impact of a nurses’ protocol-directed weaning procedure on outcomes in patients undergoing mechanical ventilation for longer than 48 hours: a prospective cohort study with a matched historical control group. In: Critical Care. 2005. 9(2). R83-R89
    Google Scholar
  • 9 Crocker C. Weaning from ventilation – current state of the science and art. In: Nursing in Critical Care. 2009. 14(4). 185-190
    Google Scholar
  • 10 Schou L, Egerod I. A qualitative study into the lived experience of post-CABG patients during mechanical ventilator weaning. In: Intensive and Critical Care Nursing. 2008. 24. 171-179
    CrossrefGoogle Scholar
  • 11 Gelsthorpe T, Crocker C. A study exploring factors which influence the decision to commence nurse-led weaning. In: Nursing in Critical Care. 2004. 9(5). 213-221
    CrossrefGoogle Scholar
  • 12 DiCenso A, Guyatt G, Ciliska D. Evidence-based nursing. A guide to clinical practice. St. Louis: Elsevier Mosby; 2005. S. 8ff
    Google Scholar
  • 13 Crocker C. The Development of a Nursing Technology: Making Visible the Nursing Contribution to the Development of Critical Care. Unveröffentlichte Doktorarbeit, The University of Nottingham Nottingham: 2006
    Google Scholar
  • 14 Nydahl P, Rothaug O. Ein Pflege-Beatmungskonzept. In: intensiv. 2010. 18(02, 03, 04). 75-81 ;131-137; 191-197
    Google Scholar