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العنوان
Impact of positive end expiratory pressure on central venous pressure reading among mechanically ventilated patients /
المؤلف
El-Eraki, Samah Mohammed El-Sayed.
هيئة الاعداد
باحث / سماح محمد السيد العراقي
مشرف / ناھد عطيه طه قنديل
مشرف / امل رشاد رياض
مشرف / ھاله احمد عبدالرحمن
مناقش / صفاء عيد أحمد خليل
مناقش / أسماء ابراهيم أبوسعدة
الموضوع
Artificial respiration. Respiratory intensive care. Respiratory therapy. Respirators - Medical equipment.
تاريخ النشر
2021.
عدد الصفحات
online resource (186 pages) :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
تمريض العناية الحرجة
تاريخ الإجازة
1/1/2021
مكان الإجازة
جامعة المنصورة - كلية التمريض - قسم تمريض العناية الحرجة والطوارئ
الفهرس
Only 14 pages are availabe for public view

from 196

from 196

Abstract

Background: The application of mechanical ventilation for critically ill patients is a life-support system that can maintain their adequate lung function. Positive end-expiratory pressure is a significant adjunct mode for mechanically ventilated patients. Traditionally, there is relationship between elevation of Positive end-expiratory pressure on central venous pressure and hemodynamic state. It is ordinarily applied for mechanically ventilated patients to improve oxygenation, alveolar ventilation, reduce atelectasis and ventilation/perfusion mismatch. Although several international studies revealed the extensive positive effects of high positive end-expiratory pressure (≥ 10 cmH2O) for critically ill patients with or without lung disorders, low levels of positive end-expiratory pressure (3 to 5 cmH2O) are regularly used for mechanically ventilated patients. Aim: The current study aimed to investigate the impact of different values of positive end-expiratory pressure on central venous pressure reading among critically ill patients. Method: A quasi-experimental research design was utilized in the current study involving a convenience sample of 164 adult mechanically ventilated patients. Data were collected using a critically ill patient’s ventilation, oxygenation and hemodynamics parameters assessment tool. Results: The current study revealed that the modification of positive end-expiratory pressure values from moderate (6-8 cmH2O) to high (8-10 cmH2O) improved patients’ central venous pressure reading, hemodynamic state, oxygenation and ventilatory parameters. Conclusion and recommendations: elevation of positive end-expiratory pressure (6-10) can improve mechanically ventilated patients’ ventilation, CVP and hemodynamic parameters. More investigations are required to support the evidence of using this approach when caring for mechanically ventilated patients.