Intensivvårdssjuksköterskans bedömningar och åtgärder vid komplex eller långvarig ventilatorurträning

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Sammanfattning: Background: Mechanical ventilation is a resource-intensive intervention associated with anumber of risks and complications that increases in correlation with the amount of time thepatient requires it. Weaning should therefore be initiated as soon as possible. As regardspatients with a complex or prolonged weaningphase this is a complicated assignment. InSweden the intensive care nurse plays an active role in weaning and adjustment of ventilatorsettings. Clinical guidelines and protocols can shorten the weaningprocess but there is anindividual aspect based on clinical judgement. Thereby it is of interest to chart whatassessments and measures the intensive care nurse takes when weaning patients frommechanical ventilation in complex or prolonged cases.Aim: To chart what assessments and measures the intensive care nurse takes in complex orprolonged weaning from mechanical ventilation in the intensive care unit.Method: A systematic literature review based on qualitative articles identified by advancedsearch in the databases PubMed and Cinahl. The data has been processed and analyzedthematically.Results: The result is based on nine articles and presented in five themes; To have a holisticview of the weaningprocess, To carry the weaningprocess forward, To create a wellfunctioningteamwork, To promote patient-involvement in the weaningprocess and To beresponsive to the patients’ needs.Conclusion: The result of this study indicates that the intensive care nurse’s assessments andmeasures are performed with a person-centered approach to carry the weaningprocess forwardin balance between standardized and individual adjustments for the patient.

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