Assessment Of Factors Hindering Nebulization Therapy Effect For Mechanically Ventilated Critical Ill Patients

Abstract

Background: Nebulization therapy has several benefits over alternative delivery methods and is currently used for a variety of medications, including as corticosteroids and bronchodilators. Still, it has a lot of disadvantages. Objective: To identify factors hindering the effect of nebulization therapy among critically ill mechanically ventilated patients. Settings: four intensive care units at Makkah hospitals, Saudi Arabia. Subjects: A convenience sample of 60 adult critically patients on invasive MV and, all critical care nurses about 50 nurses who were involved in providing direct patient care and working in the three different shifts. Tool: “Factors hindering the effect of nebulization therapy among mechanically ventilated patients’ assessment” was used to collect the needed data. Results: Findings of the current study revealed that there was a significant improvement in almost cardiovascular and respiratory parameters (p=<0.001* for all) after the nebulization therapy session with [1]4 hours, while Majority of the nurses had unsatisfactory level of performance regarding to nebulization therapy especially in the night shift with significant value for total score (p=0.006* for all). Conclusion: Larger diameter tracheal tubes, longer duty cycles, and slower inspiratory flow result in more efficient and effective nebulization.. Recommendations: Before starting nebulization therapy, the ventilator's parameters and connections should be checked often. Nurses should also receive regular in-service training on the proper way to provide nebulization therapy.