RT Journal Article
SR Electronic
T1 Documentation Issues for Mechanical Ventilation in Pressure-Control Modes
JF Respiratory Care
FD American Association for Respiratory Care
SP 1705
OP 1716
VO 55
IS 12
A1 Robert L Chatburn
A1 Teresa A Volsko
YR 2010
UL http://rc.rcjournal.com/content/55/12/1705.abstract
AB 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.