Arterial Blood Gas–Guided Optimization of Mechanical Ventilation in Nursing Practice
Abstract
Background: Arterial blood gas (ABG) analysis is a cornerstone in managing mechanically ventilated patients, offering critical insights into oxygenation, ventilation, and acid–base balance. Nurses play a pivotal role in interpreting ABG results and adjusting ventilator settings to optimize patient outcomes.
Aim: This study aims to highlight the significance of ABG-guided ventilator optimization within nursing practice and its impact on patient safety and clinical outcomes.
Methods: A comprehensive review of physiological principles, ventilator parameters, and ABG interpretation was conducted, emphasizing evidence-based strategies for individualized ventilator adjustments. Special considerations for conditions such as COPD, ARDS, asthma, restrictive lung disease, and cardiogenic pulmonary edema were analyzed.
Results: ABG-guided interventions enable precise ventilator adjustments, improving oxygenation and ventilation while minimizing complications like volutrauma, barotrauma, and oxygen toxicity. Disease-specific strategies, including low tidal volumes for ARDS and prolonged expiratory times for obstructive disorders, were identified as critical for safe ventilation.
Conclusion: Integrating ABG analysis with ventilator management enhances patient safety, reduces complications, and supports individualized care. Interprofessional collaboration and continuous monitoring are essential for effective implementation.
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References
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Authors
Copyright (c) 2025 Ruwaidat Al-Ardh Hospital Jamla Omar Hady, Halimah Obaid Alradhady, Samiha Saeed Moshbab Alasmari, Munirah Aql Almutairi, Munirah Aql Almutairi, Safiah Mohammed Saghir Maghfuri, Itidal Mohammed Alnam, Mona Aqlaa Alenazi, Sharifa Ahmed Khormi, Taher Hassan Ali Sumaily, Abdulrahman Zaal Saad Albalawi
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