Page 812 - ACCCN's Critical Care Nursing
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G L O S S A R Y   O F   T E R M S 789

             transplant.  The surgical implantation of one or more organs and   veno-venous (VV) circuit.  A term describing the vascular
                tissues from one human being to another.             access cannulas or shunt and the associated tubing
             Transplant Nurses Association (TNA).  Formed to advance the   necessary to carry blood in and out of the haemofilter
                education of nurses and other health professionals involved in    and the circulation.
                the transplant process.                           venous air-trap.  A device preventing the inadvertent pumping of air
             Transplant Society of Australia and New Zealand (TSANZ).   via the pump into the patient causing air embolism.
                A body with, as members, scientists, doctors, transplant   ventilator-associated pneumonia (VAP).  A nosocomial pneumonia
                coordinators and research students with an interest in all    that develops in a patient mechanically ventilated for 48 hours
                forms of transplantation.                            or more.
             transpulmonary gradient (TPG).  Mean pulmonary artery pressure   ventricular assist device (VAD).  Full or partial ventricular assistance
                minus pulmonary artery wedge pressure.               provided by implantation of an artificial heart.
             trypsin.  An enzyme that acts to degrade protein. It is also referred to   volume-controlled ventilation.  Where the tidal volume and rate of
                as a proteolytic enzyme or proteinase.               ventilation is set and controlled.
             ultrafiltrate.  The fluid produced during ultrafiltration.  voluntary.  Free of coercion, duress or undue inducement.
             ultrafiltration.  A process where plasma water is removed from   warm ischaemia.  Time taken from withdrawal of ventilation and
                the circulation through a haemofilter, achieving body fluid or   treatment: to the confirmation of death of a donation after cardiac
                water loss.                                          death (DCD) donor: to the commencement of infusion of cold
             unconsciousness.  A condition where a victim fails to respond to   perfusion fluid and/or organ retrieval.
                verbal or tactile stimuli.                        wet drowning.  Aspiration of water or liquid into the lungs with
             utilitarian.  Ethical theory that presupposes that an action is right   resultant pulmonary damage during a submersion incident.
                if it achieves the greatest good for the greatest number of    work of breathing.  The term applied to the physical effort a patient
                people.                                              exerts to achieve spontaneous breathing. It is affected by lung
             vascular access catheter.  A device inserted into a central vein to   compliance, chest wall resistance muscle wasting (intercostals and
                allow blood to be pumped in and out of a filter.     diaphragm) and/or fatigue, and the use of secondary muscles to
             vasoactive.  Causing vasoconstriction or dilation.      aid breathing.
             vasopressor.  A substance that promotes vasoconstriction.  younger child.  A child 1–8 years of age.
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