Rehabilitation Nursing and ventilatory weeaning in an Intensive Care Unit
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Keywords

Artificial Respiration
Respirator Weaning
Nursing
Rehabilitation

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1.
Outeiro RM, Soares S. Rehabilitation Nursing and ventilatory weeaning in an Intensive Care Unit. Rev Port Enf Reab [Internet]. 2021 Dec. 2 [cited 2024 Dec. 27];4(2):57-63. Available from: http://rper.aper.pt/index.php/rper/article/view/177

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Abstract

Introduction: Successful ventilatory weaning is essential, translating into a reduction in the length of stay in the Intensive Care Units (ICU), in the minimization of the sequelae of mechanical ventilation and in the maximization of the quality of life, where the Rehabilitation Nurse (ER) plays a key role.
Methodology: Qualitative, descriptive, exploratory study. All ER (4) exercising functions in a UCI of ARS Norte participated. A semi-structured interview and systematic non-participated observation were used, after which a content analysis and crossing of data collected in the interviews and in the observation were carried out. The objective is to know the perception of RE in ventilatory weaning.
Results: Motor and respiratory rehabilitation and the assessment of the person are interventions identified by the RE in the care of the person undergoing ventilatory weaning, which should be started early. The identified difficulties are related to the lack of material, absence of a ventilatory weaning protocol, lack of interaction between the team and deficit in the continuity of care
Discussion: The intervention of the RE in the person undergoing ventilatory weaning translates into positive gains such as the minimization of immobility sequelae, increased muscle strength, training for autonomy and rapid ventilatory weaning. The development of a structured and systematized assessment instrument are key elements in this process
Conclusion: Ventilatory weaning is a very specific process where the intervention of the RE requires the acquisition and development of very specific skills. The inclusion of these contents in specialized training, continuous training and in the recognition of experiences in similar realities is highlighted.

https://doi.org/10.33194/rper.2021.177
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References

Schmidt GA, Girard TD, Kress JP, Morris PE, Ouellette DR, Alhazzani W, et al. Liberation From Mechanical Ventilation in Critically Ill Adults. Chest [Internet]. Elsevier BV; 2017 Jan;151(1):160–5. Available from: http://dx.doi.org/10.1016/j.chest.2016.10.037

Vaz I M, Maia M, Melo, A MC et al. Desmame ventilatório difícil o papel da medicina física e de reabilitação. Med Port. 2011; 299-308. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/viewFile/1618/1200

Savi A, Teixeira C, Maccari JG et al. Ventilação Mecânica. Fundamentos e Pratica Clínica: desmame da ventilação mecânica. 1ª edição Rio de Janeiro: Brasil Roca;2016. 523-539p. ISNB 978-85-277-2808-9

Blackwood B, Burns K, Cardwell,C. R,O’Halloran P. Protocolized versus non?protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients. Cochrane Database of Systematic Reviews. 2014 nov 6;1-81. Available from: http://dx.doi.org/10.1002/14651858.CD006904.pub3

Ambrosino N, Vitacca M. The patient needing prolonged mechanical ventilation: a narrative review. Multidisciplinary Respiratory Medicine.2018 Fev 26; 13(6). Available from https://doi.org/10.1186/s40248-018-0118-7

Santos A, Oliveira I, Silveira T. Mobilização precoce em UCI. Salutis Scientia, 2010; 2, 20-24 Available from: http://www.salutisscientia.esscvp.eu/Site/Artigo.aspx?artigoid=30463

Cordeiro M, Menoita E. Manual de Boas Práticas na Reabilitação Respiratória: conceitos, princípios e técnicas.1ª ed. Loures: Lusociência ;2012.380p.

China Neves M F Avaliação do impacto da intervenção do Enfermeiro de Reabilitação com a utilização da Reeducação Funcional Respiratória no doente crítico, numa UCI. Coimbra (Portugal): Escola Superior de Enfermagem de Coimbra, CURSO DE MESTRADO EM ENFERMAGEM DE REABILITAÇÃO; Dez. 2015 Available from: http://web.esenfc.pt/?url=lEuajd2b

Pereira J A Competências do enfermeiro de reabilitação com doentes dependentes no autocuidado em UCI. Porto (Portugal): Escola Superior de Enfermagem do Porto; 2012 Available from: http://hdl.handle.net/10400.26/9340

Hernández RS, Fernández CC, Baptista P l. Metodologia de pesquisa. 5º. Ed. São Paulo: McGrawHill;2013.629p

Azevedo P, Gomes B. Effects of early mobilisation in the functional rehabilitation of critically ill patients: a systematic review. Revista de Enfermagem Referência [Internet]. Health Sciences Research Unit: Nursing; 2015 Jun 30; Nº5(IV Série):129–38. Available from: http://dx.doi.org/10.12707/riv14035

Ordem dos Enfermeiros. Guia Orientador de Boas Práticas: reabilitação respiratória. Lisboa: Ordem dos Enfermeiros; 2018 jan. Available from: https:/www.ordemenfermeiros.pt/media/5441/gobp_reabilita%C3%A7%C3%A3o-respirat%C3%B3ria_mceer_final-para-divulga%C3%A7%C3%A3o-site.pdf

Gobert F, Yonis H, Tapponnier R, Fernandez R, Labaune M-A, Burle J-F, et al. Predicting Extubation Outcome by Cough Peak Flow Measured Using a Built-in Ventilator Flow Meter. Respiratory Care [Internet]. Daedalus Enterprises; 2017 Sep 12;62(12):1505–19. Available from: http://dx.doi.org/10.4187/respcare.05460

Reis H F C, Almeida M L O, Rocha M S. Extubation failure influences clinical and functional outcomes in patients with traumatic brain injury. J Bras Pneumol.2013 jun; 39(3):330-338. Available from: https://dx.doi.org/10.1590/S18037132013000300010

DR. Diário da República Eletrónico n.º 85/2019 Série II: Regulamento 392/2019. Lisboa 2019 mai. Available from: https://dre.pt/web/guest/pesquisa/-/search/122216893/details/normal?l=1

Varandas M L, Lopes A. Formação profissional contínua e qualidade dos cuidados de enfermagem: a necessidade de uma mudança de paradigma educativo. Rev. Lusófona de Educação. 2012 maio 17; 22:141-158. Avaiable from: http://revistas.ulusofona.pt/index.php/rleducacao/article/view/3286

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