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Related Concept Videos

Administering Oxygen by Mask01:30

Administering Oxygen by Mask

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Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
252
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
379
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

506
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
506
Oxygen Delivering System I: Nasal Cannula and Face Mask01:26

Oxygen Delivering System I: Nasal Cannula and Face Mask

247
The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
247
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

1.0K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.0K
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Updated: Jun 9, 2025

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
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Nursing Roles in Extracorporeal Membrane Oxygenation.

Michelle Parrett1, Cassia Yi, Brooke Weaver

  • 1Michelle Parrett is an assistant ECMO coordinator and ECMO lead at UC San Diego Health, La Jolla, CA, where Cassia Yi is a clinical coordinator in the Mechanical Circulatory Support Program, Brooke Weaver is an ECMO lead, Meghan Jones is an NP in the Division of Cardiothoracic Surgery, Judy Davidson is a nurse scientist, Mazen Odish is an assistant professor of medicine in the Division of Pulmonary and Critical Care Medicine, and Travis Pollema is an associate clinical professor of surgery in the Division of Cardiovascular and Thoracic Surgery and medical director of the UC San Diego ECMO Program. Marites B. Almachar is a cardiac acute care float advanced practice provider and teaching associate in the Division of Cardiology at the University of Washington Medical Center, Seattle. Contact author: Michelle Parrett, mparrett@health.ucsd.edu . Cassia Yi, Mazen Odish, and Travis Pollema are Extracorporeal Life Support Organization instructors. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|October 24, 2024
PubMed
Summary

Extracorporeal membrane oxygenation (ECMO) provides mechanical support for severe heart or lung failure. This article explores ECMO nursing roles, care models, and cost-saving strategies for specialized RN staffing.

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Area of Science:

  • Cardiovascular Medicine
  • Pulmonology
  • Critical Care

Background:

  • Extracorporeal membrane oxygenation (ECMO) is a vital mechanical circulatory support for severe respiratory or cardiac failure unresponsive to standard treatments.
  • ECMO is a complex, high-cost intervention requiring intensive multidisciplinary care.
  • Patients undergoing ECMO are critically ill, necessitating specialized teams.

Purpose of the Study:

  • To delineate the multifaceted roles of nurses within ECMO programs.
  • To examine diverse ECMO delivery care models.
  • To assess the financial benefits of employing registered nurse (RN) ECMO specialists and introduce the ECMO lead role.

Main Methods:

  • Review of current ECMO program structures and staffing.
  • Analysis of nursing responsibilities in ECMO patient management.
  • Evaluation of care models and cost-effectiveness of specialized nursing staff.

Main Results:

  • ECMO requires a coordinated team including physicians, perfusionists, nurses, and respiratory therapists.
  • Specific nursing roles are critical for successful ECMO implementation and patient outcomes.
  • An RN ECMO specialist model shows potential for cost savings.

Conclusions:

  • Optimizing ECMO nursing roles and care models is essential for program success.
  • Specialized RN staffing, including an ECMO lead, can enhance efficiency and potentially reduce costs.
  • Multidisciplinary collaboration is key to managing critically ill ECMO patients.