CCC Critical Care compendium 340
Patient-Ventilator Dyssynchrony

OVERVIEWPatient-Ventilator Dyssynchrony occurs when the patient’s demands are not met by the ventilator, resulting from problems with: VENTILATION STRATEGIES Total Ventilator-controlled Mechanical Support: Partial Patient-Controlled Mechanical Support: CAUSES Patient factors Ventilator factors TYPES OF VENTILATOR DYSSYNCHRONY Ineffective triggering Inappropriate triggering…

CCC Critical Care compendium 340
De-escalation

De-escalation: Determine if safe for medical intervention. Determine cause - usually delirium with an underlying medical cause, substance abuse or withdrawal or psychiatric disorders

CCC Critical Care compendium 340
Physical Restraint

Reviewed and revised 30 July 2014 OVERVIEW INDICATIONS CONTRA-INDICATIONS ASSESSMENT APPROACH TO PHYSICAL RESTRAINT Exclude other therapeutic options first Ensure safety at all times Prepare physical restraint team Initiate manual restraint During manual restraint Monitoring (according to depth of sedation) may…