ombined with adequate ETT cuff pressure and subglotticsuctioning, without forgetting the hand hygiene and aseptic suctioning technique.
combination of ETT pressure cuff and subglottic suctioning alongside hand hygiene and aseptic techniques KD
14 Matching Annotations
- Sep 2023
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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plaque removal and the promotion of a normalmicrobial community inside the oral cavity, thus preventing the growth of microorganismsin the trachea and the creation of VAP
oral hygiene leads to plaque removal which creates reduction in microorganism growth KD
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VAP is associated with an exceeded duration of mechanical ventilation. The mostcommon microorganisms responsible for VAP are pseudomonas aeruginosa, escherichiacoli,klebsiella pneumoniae and the Acinetobacter species from Gram-negative microorganismsand staphylococcus aureus from Gram-positive microorganism
VAP is a major hospital associated infections and is seen in patients who have been intubated for a significant period of time. it is caused by microorganisms like staph and gram positive bacteria<br /> KD
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lso to hand washing and condensate remov
hand hygiene is the basis of all protocols when implementing VAP bundles as it is most important when reducing infection. KD
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highest rate of reduction [ 5, 19,25 ] implemented the “IHI Ventila-tor Bundle” combined with adequate ETT cuff pressure at 20–30 cm H2O and subglot
the most significant reduction in VAP occurred in bundles that included ETT cuff pressure of 20-30 and suctioning. KD
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while 24 studiesreported a statistically significant reduction
24 studies showed reduction in VAP using these implications while 4 did not have enough evidence. KD
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Head-of-Bed elevation, with a range of 30◦ to 45◦, wasimplemented by all the reviewed studies, except one [32]. The second most widely usedintervention was oral hygiene using chlorhexidine 0.12%
the most implemented parameter was elevated HOB and oral hygiene
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Thestudied populations were critically ill ventilated patients admitted to general, medical,surgical, neurosurgical, trauma, and cardiovascular ICUs. Most of the included studi
studies were conducted in critically ill patients who were ventilated in many different countries of the world creating a sense of variety between areas. KD
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As VAP is oneof the most common preventable lung infections in critically ill intubated patients,
infection has been increasing along with age resulting in more intubation. More intubation means need for prevention of VAP and a system that is universal. KD
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a result, there has been a variation in the included interventions of VAP bundles amongICUs and until now there is no common bundle which can be agreed to be implemented bythe communities worldwid
many ICUs have implemented this bundle however they adapted it to their own way making it no longer a universal bundle KD
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) elevation of the headof bed (HOB) to 30◦–45◦; (2) daily “sedation vacation” and assessment o
VAP bundle consists of 1. HOB elevation 30-45 degrees 2. sedation vacation and weaning 3. PUD prophylaxix and DVT prophylaxis 4. oral care (chlorhexidine) KD
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Bundle is a set of individual components, combined to make a set of quality indicators for aspecific system, procedure, or treatment [8]. These interventions must be all implementedtogether to achieve significantly better results
VAP bundle must be implemented all together to improve patient outcomes KD
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VAP) is one of the main types of infection in criticallyill mechanically ventilated patients, leading to increased mortality, morbidity, hospital stay,economic and psychological costs for patients and their families
VAP is major problem in ventilated patients Can lead to mortality, morbidity, increased hospital stay (leading to high hospital bills) KD
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The most common interventions monitored in the care bundles were sedation andweaning protocols, semi-recumbent positioning, oral and hand hygiene, peptic ulcer disease anddeep venus thrombosis prophylaxis, subglottic suctioning, and cuff pressure contro
interventions to prevent VAP * weaning * oral hygiene * suctioning * cuff pressure control KD
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