Adverse hemodynamic effects of lateral rotation during mechanical ventilation

Turning critically ill, mechanically ventilated patients every 2 hours is a fundamental nursing intervention to reduce the negative impact of prolonged immobility from preventable pulmonary complications such as ventilator-associated pneumonia and atelectasis. Unfortunately, when coupled with positi...

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Bibliographic Details
Published inDimensions of critical care nursing Vol. 27; no. 2; p. 54
Main Authors Hamlin, Shannan K, Hanneman, Sandra K, Wachtel, Sheryln, Gusick, Gary
Format Journal Article
LanguageEnglish
Published United States 01.03.2008
Subjects
Cardiovascular Diseases - etiology
Cardiovascular Diseases - physiopathology
Cardiovascular Diseases - prevention & control
Hemodynamics
Humans
Oxygen Consumption
Pneumonia, Ventilator-Associated - prevention & control
Positive-Pressure Respiration - nursing
Posture
Pulmonary Atelectasis - prevention & control
Rotation
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Summary:Turning critically ill, mechanically ventilated patients every 2 hours is a fundamental nursing intervention to reduce the negative impact of prolonged immobility from preventable pulmonary complications such as ventilator-associated pneumonia and atelectasis. Unfortunately, when coupled with positive pressure ventilation, the benefits of turning may come at the expense of cardiovascular function. Clinicians should closely monitor the hemodynamic response to turning mechanically ventilated patients, and if compromise is observed, the degree and duration of compromise may provide guidance to the appropriate intervention.
ISSN:0730-4625
DOI:10.1097/01.DCC.0000311593.87097.6a