Symptom Assessment for Mechanically Ventilated Patients: Principles and Priorities: An Official American Thoracic Society Workshop Report
Year: 2023
Type: article
Abstract: Mechanically ventilated patients experience many adverse symptoms, such as anxiety, thirst, and dyspnea. However, these common symptoms are not included in practice guideline recommendations for routine assessment of mechanically ventilated patients. An American Thoracic Society-sponsored workshop with researchers and clinicians with expertise in critical care and symptom management was convened for a discussion of symptom assessment in mechanically ventilated patients. Members included nurses, physicians, a respiratory therapist, a speech–language pathologist, a critical care pharmacist, and a former intensive care unit patient. This report summarizes existing evidence and consensus among workshop participants regarding 1) symptoms that should be considered for routine assessment of adult patients receiving mechanical ventilation; 2) key symptom assessment principles; 3) strategies that support symptom assessment in nonvocal patients; and 4) areas for future clinical practice development and research. Systematic patient-centered assessment of multiple symptoms has great potential to minimize patient distress and improve the patient experience. A culture shift is necessary to promote ongoing holistic symptom assessment with valid and reliable instruments. This report represents our workgroup consensus on symptom assessment for mechanically ventilated patients. Future work should address how holistic, patient-centered symptom assessment can be embedded into clinical practice.
Authors: Jill L. Guttormson, Babar Khan, Martin B. Brodsky, Linda L. Chlan, Martha A. Q. Curley, Céline Gélinas, Mary Beth Happ, Margaret Herridge, Dean Hess, Breanna Hetland, Ramona O. Hopkins, Megan M. Hosey, Annmarie Hosie, Andrew C. Lodolo, Natalie S. McAndrew, Sangeeta Mehta, Cheryl Misak, Margaret A. Pisani, Mark van den Boogaard, Sophia Wang
Institution: Marquette University
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Funders: American Thoracic Society, Massachusetts General Hospital, Yale University, Johns Hopkins University, University of Notre Dame, Intermountain Research and Medical Foundation, Medical College of Wisconsin, University of Technology Sydney, University of Notre Dame Australia, Radboud Universiteit, Radboud Universitair Medisch Centrum, Australasian Delirium Association, National Institutes of Health, National Heart, Lung, and Blood Institute, National Institute of Nursing Research
OpenAlex ID: W4362465361