Managing Airway Of Critically Ill Patient: Critical Analysis Assessment 4 Answer

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Question :

Assignment-   (Topic airway)- Current evidence based practice of managing patient airway of critically ill patient.

Assessment 4

Evidenced Based Practice Essay 

Students are required to submit an essay identifying the evidenced based practice relating to the nursing care of the critically ill patient. The essay must identify and discuss the evidence based nursing care of one of the following (A to D) elements:

  • Airway
  • Breathing
  • Circulation
  • Disability

The A-D element will be randomly assigned to students in LMS.

Students are to conduct a relevant literature search to identify the latest evidence based practice in relation to the A-D element they have been assigned, analyse the literature and discuss this comprehensively and critically in relation to the critically ill patient.

For example, if a student is assigned the element of Airway, they would need to conduct a literature search and identify the latest evidenced based nursing care practices and protocols to care for a critically ill patient’s airway. However, the student may wish to narrow the focus further and identify the latest evidenced based nursing practice on how to suction a patient’s airway.

Please remember this is a nursing focused essay and although pathophysiology may be required as part of your background, this must be kept to a minimum with the focus being on the nursing care of patients.

Students are advised to review the marking criterion to achieve maximum results for the essay

The essay MUST be submitted via the LMS Evidence Based Practice Essay submission area. The essay must include the following:

  • A minimum of five peer reviewed journal articles must be included in the evidence
  • The essay must describe the literature search undertaken including the key words used for the search, and the specific databases used.
  • The essay must be of academic standard and follow the following APA guidelines
  • This assignment will automatically be submitted to URKUND.
  • Word count maximum 3000 words +/- 10 as per university assessment policy 2016

Students must be aware that once they have submitted their essay it cannot be withdrawn and a first submission is final. The students first submission will be marked for grading and will be final. A late submission will be subject to the university penalty of -10% per day 

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Answer :


Critical Analysis

Airway management of the critically ill patient who are outside the operating room is a high-risk procedure. The use of the Airway, depending on the physiological reserve, endotracheal intubation (ETI) is associated with increased risk of hypoxemia, hypotension, dysrhythmias, cardiac arrest, and death

Literature review

 As per the Cook (2018), who has provided an evidence of how recognizing the unique challenges of endotracheal intubation can be considered to be a critically ill patients that is limited to the further deterioration on account of the high-risk procedure. It can be considered to be a safe approach to intubation that can help to identify the risk factors which can predict the challenges in achieving an optimal view of the glottis, maintaining optimal oxygenation, and minimizing the risks and benefits of sedation/induction strategies that are meant to facilitate intubation and avoid clinical deterioration.