Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses
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Intensive Crit Care Nurs · Oct 1998
ReviewTo bag or not to bag? Manual hyperinflation in intensive care.
Manual hyperinflation or bagging is a physiotherapy technique commonly used on mechanically ventilated patients on intensive care. The way it is performed appears to vary widely, and in the past there has been little or no monitoring of what is actually happening during the technique in terms of what airway pressures and tidal volumes are being delivered to the patient. Conclusive evidence from large scientific studies of the benefits and side effects of manual hyperinflation are to date still lacking.
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Intensive Crit Care Nurs · Oct 1998
ReviewIntensive nursing care of patients with a microvascular free flap after maxillofacial surgery.
This article provides an introduction to the care of patients following maxillofacial surgery, many of whom undergo the complexities of microvascular flap surgery and need careful nursing assessment in the postoperative period. A brief introduction to this surgery illustrates some of the potential reasons for admission to the intensive care unit. The nursing care is vital to maintain the survival of the flap, the details of which are discussed along with factors which potentially contribute to flap failure. Other considerations such as haemodynamic stability, postoperative complications, the importance of education and other options for postoperative management also form further points for discussion.