Assessment of Respiratory Parameters and Ventilator Waveforms: A Critical Role of Critical Care Nurses

Authors

  • Tarntana Supreeyatitikul Faculty of Medicine Ramathibodi Hospital, Mahidol University

Keywords:

respiratory parameters, ventilator waveforms, mechanical ventilation, critical care nurse

Abstract

Introduction: Acute illnesses that impair respiratory function can cause inadequate gas exchange, leading to multi-organ failure and fatal outcomes. Mechanical ventilation serves as a crucial life-support intervention to assist gas exchange and reduce breathing effort. Critical care nurses are essential in monitoring respiratory function to ensure this support remains effective.

Objectives: This academic article aims to strengthen the clinical competency of critical care nurses in mechanical ventilation. Key topics include ventilator parameters, breathing patterns, system monitoring, patient assessment, and the interpretation of parameters and waveforms.

Key issues: The ability to interpret ventilator data is fundamental for critical care nurses when monitoring gas exchange effectiveness in patients receiving mechanical support. These skills are vital to optimizing safety and the quality of care in the ICU.

Conclusions: The management of mechanically ventilated patients demands a high level of expertise and technical skill. Critical care nurses must demonstrate an understanding of the principles of mechanical ventilation, including initial and ongoing settings, modes, and parameters. Furthermore, proficiency in waveform analysis is essential to accurately assess patient status.

Implications: Healthcare organizations must prioritize regular training on ventilator parameters and waveform interpretation. Professional development can be supported through online resources, clinical protocols, and interdisciplinary collaboration. Implementing these strategies is crucial for ensuring the safety and clinical outcomes of patients on mechanical ventilation.

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References

Mirabile VS, Shebl E, Sankari A, Burns B. Respiratory failure in adults [Internet]. 2023 [cited 2025 Jan 11]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526127/

Zheng, F., Wang, X. Effect of pneumonia on the outcomes of acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis. BMC Pulmonary Medicine 2024;24(1):496.

Hsu CY, Lai CC, Yeh YP, Chang-Chuan C, Chen HH. Progression from Pneumonia to ARDS as a predictor for fatal COVID-19. Journal of Infection and Public Health 2021;14(4):504-7.

Hickey SM, Sankari A, Giwa AO. Mechanical ventilation [internet]. 2024 [cited 2025 Jan 11]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539742/.

Meitner C, Feuerstein RA, Steele AM. Nursing strategies for the mechanically ventilated patient. Frontiers in Veterinary Science 2023;10:1145758. Available from: https://doi.org/10.3389/fvets.2023.1145758

Ward J, Noel C. Basic modes of mechanical ventilation. Emergency Medicine Clinics of North America2022 ;40(3):473-88. Available from: https://doi.org/10.1016/j.emc.2022.05.003.

Combes A, Hajage D, Capellier G, Demoule A, Lavoué S, Guervilly C, et al. Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome. The New England Journal of Medicine 2018;378(21):1965-75.

Gottlieb J, Capetian P, Hamsen U, Janssens U, Karagiannidis C, Kluge S, et al. German S3 guideline: Oxygen therapy in the acute care of adult patients. Respiration 2022;101:214-52.

Silva PL, Rocco PRM. The basics of respiratory mechanics: Ventilator-derived parameters. Annals of Translational Medicine2018 ;6(19):376. Available from: https://doi.org/10.21037/atm.2018.06.06.

Emrath E. The basics of ventilator waveforms. Current Pediatrics Reports 2021;9:11-9.

Carlucci A, Mattei A, Rossi V, Paracchini E, Raineri SM, Gregoretti C. Ventilator settings to avoid nuisance alarms during mouthpiece ventilation. Respiratory Care 2016;61(4):462-7. Available from: https://doi.org/10.4187/respcare.04217.

Dexter AM, Clark K. Ventilator graphics: Scalars, loops, & secondary measures. Respiratory Care 2020;65:739-59.

Ivan IR, Daniel HA. Identifying patient-ventilator asynchrony using waveform analysis. Palliative Medicine & Care 2017;4(4):1-6. Available from: https://doi.org/10.15226/2374-8362/4/4/00147

Das SK, Chopoo NS. "Undulation on ventilator wave" may indicate serious lung pathology. Lung India: Official Organ of Indian Chest Society 2016;33(1):103-5.

Keller M, Applefeld W, Acho M, Lee BW. How I teach auto-PEEP: Applying the physiology of expiration. ATS scholar 2022;3(4):610-24.

Vinay B, Sriganesh K, Gopalakrishna KN, Sudhir V. An unusual cause of high peak airway pressure: Interpretation of displayed alarms. Saudi Journal of Anaesthasia 2015;9(1):94-6.

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Published

2025-12-24

How to Cite

1.
Supreeyatitikul T. Assessment of Respiratory Parameters and Ventilator Waveforms: A Critical Role of Critical Care Nurses. JBCN_Bangkok [internet]. 2025 Dec. 24 [cited 2026 Jan. 16];41(3):205-17. available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/280028