| Autor: |
Smith, Orla, Sklar, Michael, Every, Hilary, Greco, Pamela, Salway, Kurds, Campbell, Carolyn, Guiyab, Melissa, Oddi, Margaret, Sandhu, Gyan, Savedra, Prafulla, Swift, Shannon, Wannamaker, Karen, Brochard, Laurent |
| Předmět: |
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| Zdroj: |
Canadian Journal of Critical Care Nursing; Summer2016, Vol. 27 Issue 2, p46-47, 2p |
| Abstrakt: |
Current evidence suggests patients with Acute Respiratory Distress Syndrome (ARDS) be managed with a lung protective strategy incorporating low tidal volumes (~6 m ls/kg) and plateau pressures less than 30 cm H20. Achieving even lower tidal volumes may provide in cremental benefit. However, reducing tidal volumes can induce severe hypercapnia with adverse effects. Treatment with an extracorporeal carbon dioxide removal (ECC02R) device may facilitate ventilation with tidal volumes less than 6mls/kg and reduced plateau pressures (Terragni et al., 2009). In the context of the international SUPERNOVA study (NCT02282657), the role of ECC02R in reducing tidal volumes will be assessed. In the study, ECC02R will occur through a veno-venous circuit using the ALung Hemolung®-RAS system. Venous blood will be removed from the circulation using a dual-lumen catheter and pumped through a circuit to remove C 02 while tidal volume is incrementally reduced. The purpose of this presentation is to introduce ECC02R and describe development of an education curriculum to support the study in our intensive care unit. An interprofessional team of registered nurses (RNs), respiratory therapists (RTs), and physicians designed a four-hour workshop to train experienced front-line RNs and RTs on the system, in collaboration with the device manufacturer (ALung®). During training, roles and responsibilities for each health care professional involved in the care of study participants receiving ECC02R are defined. In addition to training on the study protocol and ventilation algorithm, the workshop provides participants with didactic and hands-on training on: circuit prim ing and management including anticoagulation, catheter insertion, weaning and decannulation. A competency checklist outlines acquired skills at workshop completion. A start-of-shift checklist, incorporating two-person checks of the alarms, anticoagulation, catheter, circuit, and safety equipment supports the safe implementation and monitoring of the treatment for study participants. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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