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Research ArticleSpecial Article

Documentation Issues for Mechanical Ventilation in Pressure-Control Modes

Robert L Chatburn and Teresa A Volsko
Respiratory Care December 2010, 55 (12) 1705-1716;
Robert L Chatburn
Respiratory Institute, The Cleveland Clinic
Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio.
MHHS RRT-NPS FAARC
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  • For correspondence: [email protected]
Teresa A Volsko
Respiratory Therapy Program, Department of Health Professions, Youngstown State University, Youngstown, Ohio.
MHHS RRT FAARC
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Abstract

As hospitals begin to implement electronic medical records, the inadequacies of legacy paper charting systems will become more evident. One area of particular concern for respiratory therapists is the charting of mechanical ventilator settings. Our profession's lack of a standardized and generally accepted taxonomy for mechanical ventilation leaves us with a confusing array of terms related to ventilator settings. Such confusion makes database design impossible for information technology professionals and is a risk-management concern for clinicians. Of particular note is the complexity related to set airway pressures when using modes whose primary control variable is pressure (versus volume). We review the clinically relevant issues surrounding documentation of the patient-ventilator interactions related to airway pressure and provide suggestions for a standardized vocabulary.

  • mechanical ventilation
  • terminology
  • medical record
  • charting
  • simulation
  • ventilator design
  • information technology
  • medical informatics
  • taxonomy

Footnotes

  • Correspondence: Robert L Chatburn MHHS RRT-NPS FAARC, Respiratory Therapy, M-56, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195. E-mail: chatbur{at}ccf.org.
  • Mr Chatburn has disclosed relationships with IngMar, Hamilton, Covidien, and Dräger. Ms Volsko has disclosed no conflicts of interest.

  • Copyright © 2010 by Daedalus Enterprises Inc.
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Respiratory Care: 55 (12)
Respiratory Care
Vol. 55, Issue 12
1 Dec 2010
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Documentation Issues for Mechanical Ventilation in Pressure-Control Modes
Robert L Chatburn, Teresa A Volsko
Respiratory Care Dec 2010, 55 (12) 1705-1716;

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Documentation Issues for Mechanical Ventilation in Pressure-Control Modes
Robert L Chatburn, Teresa A Volsko
Respiratory Care Dec 2010, 55 (12) 1705-1716;
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Keywords

  • mechanical ventilation
  • terminology
  • medical record
  • charting
  • simulation
  • ventilator design
  • information technology
  • medical informatics
  • taxonomy

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