Nursing Care at the beginning of Invasive Mechanical Ventilation in the Intensive Care Unit

Abstract

Mechanical ventilation is the therapeutic alternative that replaces total or partial ventilatory function while maintaining appropriate levels of PO2and PCO2 in arterial blood, in order to reduce respiratory work in critical patients; mainly those with acute respiratory failure, so it should be known when this means of advanced life support is indicated; as well as the different modes available, general ventilation parameters and alarms coupled to a protective ventilation strategy to reduce the complications that may occur. In this way we favor patient recovery. Nursing Management is the discipline of care science that applies professional judgment, planning, organization, motivation and control of the provision of timely, safe, human and comprehensive processes that ensure continuity of care. The nursing care in the UAACI is carried out autonomously and in collaboration with the health team, adjusts to the needs of the critical patient, providing quality and safety, based on instruments that allow us to monitor and evaluate the care. According to the database of the Adult Unit Intensive Care Area year 2018, 51.4% of the admitted patients needed invasive ventilatory support, of which 72.0% correspond to acute respiratory failure, the remaining percentage to scheduled procedures. The objective of this route is the standardization of Nursing Care at the beginning of mechanical ventilation as well as describing the phases of intervention of the nurse and the activities that must be carried out in each of them, establishing a plan of care to verify that the set goals are achieved.