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[Nursing of intubation]
A Lucchini1, L Aliprandi, L Iacobelli
1Servizio di Anestesia e Rianimazione, Azienda Ospedaliera San Gerardo, Monza, Italy. alberto.lucchini@saprem.it
Minerva Anestesiologica
|May 25, 2002
Summary
Noninvasive ventilation allows delaying intubation in intensive care units (ICUs), resulting in more hemodynamically compromised patients requiring intubation. This paper details a specific protocol for endotracheal tube positioning and highlights the crucial role of nurses in managing these critical cases.
Area of Science:
- Critical Care Medicine
- Respiratory Therapy
- Intensive Care Unit (ICU) Management
Context:
- Advancements in noninvasive ventilation enable delaying endotracheal intubation in ICU patients.
- This delay results in intubated patients presenting with significantly compromised hemodynamic and respiratory status.
- Critically ill patients requiring intubation often have complex underlying conditions.
Purpose:
- To review strategies for endotracheal tube positioning in critically ill patients.
- To present a specific protocol developed for intubating high-risk ICU patients.
- To emphasize the essential role of nurses in the endotracheal intubation procedure for compromised patients.
Summary:
- Developed a specific protocol for endotracheal intubation in critically ill ICU patients.
- Reviewed strategies for optimal endotracheal tube positioning in this high-risk population.
- Highlighted the indispensable role of nursing staff during the intubation process for hemodynamically unstable patients.
Impact:
- Aims to improve patient outcomes by standardizing intubation procedures for vulnerable ICU populations.
- Provides a practical guide for healthcare professionals managing complex intubations.
- Underscores the importance of interdisciplinary collaboration, particularly between physicians and nurses, in critical care settings.