was weighed on admission and then every 6 – 8 hours afterwards , with no changes noticed . Temperature was also monitored frequently . It was essential to identify hyperthermia as this may cause excessive panting , which could influence monitoring . Latimer-Jones ( 2020 ) advises that a temperature of 40 ° C is a concern and anything over 42 ° C is a risk to life .
There was an extensive amount of information that needed to be passed between the team . A verbal cage-side handover occurred between shifts , which aimed to highlight the patient ’ s problems and nursing considerations . Details of improvements , deteriorations , changes to the treatment plan , and diagnostics were discussed .
Discharge
The patient responded well to treatment . Similar to the case described by Louro et al . ( 2019 ), the patient was considerably brighter and more alert within 16 hours of the initial clinical signs . The respiratory rate stabilised at 30 breaths per minute , with no cough or stertor detected . The team made decisions together , utilising individual team-member skills and specialisms . The verbal handovers and written notes ensured that important information was passed between teams . In the future , written handovers for complex ICU patients may improve communication as there is a written record to refer to .
On reflection , the patient may have benefited from a longer period of ventilation under TIVA to maximise the ability to ventilate and oxygenate without support , and reduce the subsequent requirement of nasal oxygen therapy , leading to a potentially faster recovery .
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