Related Experiment Video
Updated: Aug 31, 2025
07:16
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
3.5K
Increasing Supportive Care for Patients With COVID-19-Related Respiratory Deterioration in Non-ICU Settings
Courtney L Stellpflug1, Stephanie D Olson, Britta A Balko
1Department of Nursing, Mayo Clinic, Rochester, Minnesota.
Journal of Nursing Care Quality
|August 19, 2022
Summary
New guidelines for general care units safely managed COVID-19 patients with respiratory deterioration. This approach avoided intubations and intensive care unit (ICU) admissions, optimizing hospital resources.
Area of Science:
- Healthcare management
- Quality improvement in patient care
- COVID-19 treatment protocols
Background:
- Prepandemic hospital guidelines were insufficient for managing acute respiratory deterioration.
- A need existed for new general care practices to manage patient influx.
Purpose of the Study:
- To develop and evaluate guidelines for safely treating COVID-19 patients with respiratory deterioration.
- Focus on managing patients within the general care setting.
Main Methods:
- Quality improvement project utilizing two Plan-Do-Study-Act (PDSA) cycles.
- Developed guidelines for high-flow oxygen, prone positioning, and frequent monitoring.
- Integrated virtual critical care support and collaboration.
Main Results:
- 126 COVID-19 patients managed on general care units over six months.
- Achieved zero intubations within the general care units.
- Freed up 211 intensive care unit (ICU) bed days through effective general care management.
Conclusions:
- General care settings can safely manage patients with respiratory decline using established criteria.
- Appropriate oxygen device settings, monitoring, and nursing support are key.
- Technology integration enhances patient management in general care.
Related Concept Videos
01:29Acute Respiratory Failure-V
190
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
190
01:28Pneumonia IV: Management
434
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
434
01:30Acute Respiratory Failure-III
292
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
292
01:30Pneumonia V: Nursing management and Prevention
2.4K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.4K
01:21Acute Respiratory Failure-II
329
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
329
01:23Mechanical Ventilation III: Noninvasive Ventilation
211
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...
211