StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...
Free

The Mortality Rates of Advanced Ventilator Modes vs Intravenous Medications in the Adult ICU Setting - Research Proposal Example

Cite this document
Summary
The paper "The Mortality Rates of Advanced Ventilator Modes vs Intravenous Medications in the Adult ICU Setting" states that the threat of construct validity is a significant threat in the study. The mortality rates could be caused by patients’ original conditions and not the applied interventions…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER96.8% of users find it useful
The Mortality Rates of Advanced Ventilator Modes vs Intravenous Medications in the Adult ICU Setting
Read Text Preview

Extract of sample "The Mortality Rates of Advanced Ventilator Modes vs Intravenous Medications in the Adult ICU Setting"

The mortality rates of advanced ventilator modes vs intravenous (IV) medications in the adult ICU setting Introduction Patients in intensive care units have special needs that require supportive facilities for sustaining their mechanisms. A patient in the care environment may be too weak to support the normal gaseous exchange process, a condition that may require breathing aid and mechanical ventilator modes aids this. Similarly, a patient may not be able to take in medication through the oral cavity to warrant intravenous medications. These intervention measures are however not always successful in helping patients and have been associated with mortality rates. the study seeks to investigate and compare mortality rates associated with the two measures. Mechanical ventilation is a common application in the intensive care unit but their usage is not entirely safe. Fernandez, Miguelena, Mulett, Godoy and Martinon-Tore contends that such applications require high degree of care and this further means that associated risk can occur without cases of practitioner’s negligence (2013). New mechanical ventilators continue to emerge but the risk has persisted. Adaptive support ventilation is one of the latest models but despite its advantages such as reduced ventilation period and less human management, it has diversified disadvantages such as lack of direct programming options, inadequate experience, and limited availability. Consequently, application is limited and even when it is available; it has significant risks that can contribute to mortality rate among patients in the ICU (Fernandez et al., 2013). In addition to direct risks of ventilator application, a patient may not be tolerant to its usage and this may hinder its efficiency. Consequently, usage may not imply benefits to patients who may succumb to breathing difficulties. Associated complications of ventilator applications such as pressure on a patient’s respiratory system, irritation, and air leaks among other complications may, if not detected and corrected in time, be significant to the patient’s condition and lead to death (Grossbach, Chlan and Tracy, 2011). Fan, Villar and Slutsky’s review of acute respiratory distress syndrome that ventilators induce confirms significance of associated risks with mechanical ventilator modes into high mortality rate despite continued usage of the technology in intensive care units (2013). Like mechanical ventilator modes, intravenous medications have associated risks. In a study to investigate risk of intravenous medication on blood stream infections, the researchers identified significant risk levels but noted that application of point of care-activated and closed system for intravenous medication had lower risks and would therefore be recommended. This identifies potential risk of bloodstream infection should a practitioner be moral enough to use the recommended methods but the risk still occur (Mercaldi, Lanes and Bradt, 2013). Consequently, manageable mortality rate exist in application of intravenous medication. The low risk of intravenous medication is further evident from a study that investigated mortality rate between organizations that prefer intravenous medications and those that use the medication approach in few circumstances. While the study identified large organizations with preference for intravenous medications that small and for non-profit organizations, large organizations reported lower rations for mortality, such as 1.13 and 1.14, that small organizations whose ratios included 1.25 and 1.18 (Zhang, Thamer, Kshirsagar and Cotter, 2013). This suggests that intravenous medication is effective in improving quality of life and reducing mortality rates, with an implication that it is not a threat to life. Existing data identifies risks in mechanical ventilator modes and intravenous medications to suggest their significance to mortality rates. The literature also notes that the interventions can be managed for safety. No comparative information on the two measures, and on ICU is however available. This paper seeks to investigate associated mortality rates of the two intervention measures to ascertain effectiveness in management of their associated risks and to determine the more risky intervention of the two. Research question and hypothesis The following research questions will help in exploring the research objective. Do advance mechanical ventilator modes and intravenous medications report significant mortality rates in adult ICU setting? Does advance mechanical ventilator account for higher mortality rate than intravenous medication? The following null hypotheses will be tested for the two research questions. H1O: Advance mechanical ventilator modes and intravenous medications do not report significant mortality rates H20: There is no significant difference in mortality rates for the two intervention measures. Operational definitions Ventilator mode: Ventilator mode is an intervention measure for enhancing respiratory process and one of the study’s independent variables. Intravenous medication: Intravenous medication defines medication through the blood stream and is another independent variable Mortality rate: Mortality rate defines frequency of reported death per population size and is the dependent variable Population and sampling method Patients in the intensive care unit will be the study’s population. Sample will be drawn from units from five care facilities through stratified random sampling. Methods A survey design will be used for the study with a stratified random sampling strategy. 12 participants will be sampled into each intervention groups from each of the selected care facility. Research participants will be identified by the interventions and percentage of those who succumb to their condition measured per intervention. Ethical approval will be sought from relevant authority in the medical profession and informed consent from administrations of selected facilities obtained. Patients will then recruited upon admission, based on recommended intervention and informed consent sought from their next of kin. The patients will then be monitored over their stay in the unit with focus on whether they recover or succumb to death. Internal threats to validity Threat of construct validity is the significant threat in the study. The reported mortality rates could be caused by patients’ original conditions and not the applied interventions. Interventions shall however be blind to the original conditions and this controls the threat because the severity of the original conditions shall be randomly allocated to the intervention measures. Ethical consideration The study will be observational and therefore free from ethical considerations that are pertinent to experimental and quasi-experimental studies that involve treatment measures. Care will however be taken to ensure ethical approval and informed consent from relevant authority. Considerations will also be made with respect to psychological sensitivity of research patients and their relatives and to ensure anonymity. References Fan, E., Villar, J. and Slutsky, A. Novel approaches to minimize ventilator-induced lung injury. BMC Medicine 11(1), 1-9. Fernandez, J. et al. (2013). Adaptive support ventilation: State of the art review. Indian Journal of Critical Care Medicine 17(1), 16-22. Grossbach, I., Chlan, L. and Tracy, M. (2011). Overview of mechanical ventilator support and management of patient-and ventilator- related responses. Critical Care Nurse 31(3), 30-45. Mercaldi, C., Lanes, S. and Bradt, J. (2013). Comparative risk of bloodstream infection in hospitalized patients receiving intravenous medication by open, point-of-care, or closed delivery systems. American Journal of Health-System Pharmacy 70(11), 957-965. Zhang, R., Thamer, S., Kshirsagar, J. and Cotter, D. (2013). Organizational status of dialysis facilities and patient outcome: Does higher injectable medication use mediate increased mortality? Health Services Research 48(3), 949-971. Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“The Mortality Rates of Advance Mechanical Ventilator Modes vs Research Proposal”, n.d.)
Retrieved from https://studentshare.org/health-sciences-medicine/1634440-the-mortality-rates-of-advance-mechanical-ventilator-modes-vs-intravenous-iv-medications-in-the-adult-icu-setting
(The Mortality Rates of Advance Mechanical Ventilator Modes Vs Research Proposal)
https://studentshare.org/health-sciences-medicine/1634440-the-mortality-rates-of-advance-mechanical-ventilator-modes-vs-intravenous-iv-medications-in-the-adult-icu-setting.
“The Mortality Rates of Advance Mechanical Ventilator Modes Vs Research Proposal”, n.d. https://studentshare.org/health-sciences-medicine/1634440-the-mortality-rates-of-advance-mechanical-ventilator-modes-vs-intravenous-iv-medications-in-the-adult-icu-setting.
  • Cited: 0 times

CHECK THESE SAMPLES OF The Mortality Rates of Advanced Ventilator Modes vs Intravenous Medications in the Adult ICU Setting

Critical Thinking - Advanced Life Support Skills within Paramedic Scope of Practice

ALS level care comprises advanced airway management such as endotracheal intubation, defibrillation, administration of parenteral medications, and cardiac monitoring employing the utilization of advanced medical care equipment (Tintinalli et al, 2010, p.... Although the ultimate goal of vascular access is to be able to administer fluids and medications, each of these techniques requires a different approach and must be practiced frequently for initial and ongoing proficiency (Caroline, 2008, p....
28 Pages (7000 words) Essay

Infection Control Programme in Intensive Control Unit in Indian hospital

The objective of this research was to study the infection control practices in the intensive care unit of an Indian hospital.... The study focused on hand hygiene, sterilisation & disinfection and waste management practices of infection control.... .... ... ... The study attempts to find out if there is a written infection control policy addressing standard practices of hand hygiene, sterilisation & disinfection and waste management and verifies its effectiveness based on participants' responses to the questions asked about those standard practices....
92 Pages (23000 words) Dissertation

ALS Skills within Paramedic Scope of Practice

While there may not be a national standard for the types of skills paramedics undertake, paramedics usually receive the award of advanced Life Support, which is a nationally recognized skill level.... Further postgraduate education and training can facilitate the attainment of enhanced skills levels, inclusive of Intensive Care Paramedic mandated to administer complex medications and undertake highly invasive medical procedures.... In the paper, 'ALS Skills within Paramedic Scope of Practice' the author analyzes an advanced level of emergency care and encompassing aspects such as basic life support care (BLS), cardiac monitoring, electrocardiography, cardiac defibrillation, intravenous therapy, trauma care....
17 Pages (4250 words) Research Proposal

Acute Exacerbation of COPD. Acute respiratory distress syndrome (ARDS)

The most dominant causes of acute exacerbations of COPD entail overdose of drugs that suppress ventilator drive, as well as conditions that result to respiratory muscle weakness (Gay, 2004).... The most dominant causes of acute exacerbations of COPD entail overdose of drugs that suppress ventilator drive, as well as conditions that result to respiratory muscle weakness (Gay, 2004)....
67 Pages (16750 words) Essay

Methicillin-resistant Staphylococcus aureus

A study conducted by the European Prevalence of Infection in Intensive Care indicated that the prevalence rate in icu has steeply declined from 1.... The most common types of healthcare-associated infections are urinary tract infections, ventilator-associated pneumonia, and surgical wound infections (Pennsylvania Department of Health n.... In industrialised countries, healthcare-associated infections have a significant impact on public health by contributing to an increase in morbidity and mortality....
11 Pages (2750 words) Essay

Analgesia with Coronary Arterial Bypass Graft Procedure

Pain is an annoying or unpleasant sensory experience that not only covers the end-stage diseases (e.... .... Cancer), but also any other type of mild or acute pain, sporadic or chronic, whether by trauma, illness, childbirth, surgery.... ... ... ... Pain is a feeling which is extremely upsetting and very personal, and cannot be shared with others, however pain is an important sign that something is wrong physiologically (Bonica 1987; Melzack 1999)....
25 Pages (6250 words) Dissertation

Fundamental Aspects of Patient Care: an Introduction to Adult Nursing Practice

Research conducted by Wolfe, Tilling, Beech, Rudd, and the European BIOMED Study of Stroke Care Group (2000) revealed that there are high mortality rates of stroke in areas of Central and Western Europe.... This essay "Fundamental Aspects of Patient Care: an Introduction to adult Nursing Practice" is about experiences in relation to nursing practice during clinical placement....
10 Pages (2500 words) Essay

Anesthesia and the Awake Craniotomy

The author examines an awake craniotomy which is successful in maximizing the restrictions, particularly for patients with speech defects, and an anesthesia the use of which is recommended by physicians for the patient's comfort during the surgical procedure.... .... ... ... As stated anesthesia is important in surgical procedures....
20 Pages (5000 words) Term Paper
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Contact Us