Post by mary clothier on Feb 28, 2021 21:12:22 GMT -5
1. Are recruitment breaths, where the lung is subjected to prolong periods of of positive airway pressures, suggested to improve oxygenation in COVID-19? Suggestions to improve
oxygenation in this patient population?
Recruitment breaths not recommended, or effective. The recommended management @ attempts to improve oxygenation were repositioning, supine to prone, ventilation settings, low
tidal volumes, high respiratory rates, and continued increasing FIO2.
2. Please share any anecdotal experiences regarding COVID-19 patients you cared for as a bedside RN on CCU,NCCU, Nelson 5. Once these patients were intubated it was a very long
and critical process, inability to ventilate, oxygenate, leading to organ death. Once this began, the potential for comorbidities increased exponentially!
Many required dialysis, complete care, bed baths, mouth care, FMS for and urinary catheters. I also had the opportunity to experience the use of adult ECMO (experimental in
Adults.) Comfort, loving care was extremely needed to these suffering patients, no family visitations! We used tablets for the conscious patients to talk/see their family.
The technology connection was tough ,as many of the family members where not technologically savvy to connect! If patients had an IPhone, connections a bit better with FT.
Advice for my colleagues who may work with COVID + patients in the ICU, advocate for your patients, waiting on intubation as long as possible, hoping the Algorithm has improved
over the past 11 months since my experience with + COVID patients! Patients is a virtue, let the virus run its course, avoid airway instrumentation as long as possible,
tolerating a bit of desaturation/and a lower pulse ox number!
Support patients with pillows, supine, prone, semi fowlers in bed, sitting up in a chair, face mask oxygen @ 10L! Make every attempt to help improve your patients oxygenation
and comfort!
oxygenation in this patient population?
Recruitment breaths not recommended, or effective. The recommended management @ attempts to improve oxygenation were repositioning, supine to prone, ventilation settings, low
tidal volumes, high respiratory rates, and continued increasing FIO2.
2. Please share any anecdotal experiences regarding COVID-19 patients you cared for as a bedside RN on CCU,NCCU, Nelson 5. Once these patients were intubated it was a very long
and critical process, inability to ventilate, oxygenate, leading to organ death. Once this began, the potential for comorbidities increased exponentially!
Many required dialysis, complete care, bed baths, mouth care, FMS for and urinary catheters. I also had the opportunity to experience the use of adult ECMO (experimental in
Adults.) Comfort, loving care was extremely needed to these suffering patients, no family visitations! We used tablets for the conscious patients to talk/see their family.
The technology connection was tough ,as many of the family members where not technologically savvy to connect! If patients had an IPhone, connections a bit better with FT.
Advice for my colleagues who may work with COVID + patients in the ICU, advocate for your patients, waiting on intubation as long as possible, hoping the Algorithm has improved
over the past 11 months since my experience with + COVID patients! Patients is a virtue, let the virus run its course, avoid airway instrumentation as long as possible,
tolerating a bit of desaturation/and a lower pulse ox number!
Support patients with pillows, supine, prone, semi fowlers in bed, sitting up in a chair, face mask oxygen @ 10L! Make every attempt to help improve your patients oxygenation
and comfort!