Related Experiment Video
Updated: Sep 5, 2025
07:36
Mechanical Ventilation Boot Camp Curriculum
Published on: March 12, 2018
10.3K
Being tied down-The experience of being physically restrained while mechanically ventilated in ICU
Dawn Perez1, Gillian Murphy2, Lesley Wilkes1
1School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia.
Journal of Advanced Nursing
|July 5, 2022
Summary
Physical restraints during mechanical ventilation in intensive care can cause traumatic experiences for patients and families. Exploring holistic care is crucial to minimize harm and improve outcomes after intensive care unit stays.
Area of Science:
- Critical Care Medicine
- Patient Experience Research
- Qualitative Health Research
Background:
- Physical restraints are frequently used in intensive care units (ICUs) to manage patients on mechanical ventilation.
- Understanding the patient and family experience of physical restraints is essential for improving care.
Purpose of the Study:
- To explore the lived experiences of patients and family members regarding physical restraints during mechanical ventilation in the ICU.
- To identify the physical, emotional, and psychological consequences of physical restraint use.
Main Methods:
- A qualitative study employing a naturalistic inquiry framework.
- In-depth, semi-structured interviews with five patients and six family members.
- Data analyzed using reflexive thematic analysis.
Main Results:
- Three overarching themes emerged: 'Being tied down,' 'Feeling helpless,' and 'Finding light in the darkness.'
- These themes highlight the profound distress and psychological impact of physical restraints.
Conclusions:
- Physical restraints during mechanical ventilation can lead to lasting traumatic experiences for patients and families.
- Holistic care addressing physical, emotional, and psychological needs is vital to mitigate harm.
- Findings can inform practice changes, policy development, and education to improve ICU patient and family outcomes.
Related Concept Videos
01:23Mechanical Ventilation II: Invasive Ventilation
251
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
251
01:23Mechanical Ventilation III: Noninvasive Ventilation
218
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
218
01:29Mechanical Ventilation I: Indication and Settings
903
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
903
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
82
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
82
01:14Ventilatory Modes
396
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
396
01:23Acute Respiratory Failure-IV
217
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
217