The most important intervention for preventing VAP, is avoid-ing intubation, by using noninvasive positive pressure ventilation whenever possible
Without ventilation, VAP would not happen. - Anne D and Malayna C
9 Matching Annotations
- Sep 2023
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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A multimodal approach for VAP prevention includes functional, mechanical, and phar-macological measures
Functional, mechanical, and pharmacologic measures can be used together to prevent VAP. - Anne D and Malayna C
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Education program included self-learning packets, presenta-tions, discussions, knowledge questionnaires, posters, checklists, videos, reminder signs inpatients’ rooms, nursing and medical champions, stimulation scenarios and feedback meet-ings. Thirty-two studies measured the compliance to ventilator bundles and/or educationprogram, and in all of them there was a significant increase in VAP bundle adherence afterthe education program
Education is an important aspect of the prevention of VAP. - Malayna C and Anne D
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VAP reduction rates ranged from 13% [2] to 100% [23,36]. Onlyfour studies showed low VAP reduction
This shows the VAP prevention measures helped. - Malayna C and Anne D
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The total sample size rangedfrom 43 intubated patients [20 ] to 171,237 intubated patients
The range of the sample size allows for a plethora of data. - Malayna C and Anne D
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As VAP is oneof the most common preventable lung infections in critically ill intubated patients, it isimperative to determine the most efficient preventive measures for VAP reduction.
VAP is an easily preventable lung infection. Since nursing measures can be implemented to prevent VAP, RNs should make it a priority to implement these measures. - Anne D and Malayna C
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“Recommended bundleof Interventions for the prevention of VAP”, including elevation of head of bed, daily seda-tion vacation and assessment of readiness to extubate, use of subglottic secretion drainage,avoidance of scheduled ventilator circuit changes, oral hygiene without chlorhexidine andPUD prophylaxis (only for high-risk patients), without mentioning DVT prophylaxis
These are important to prevent VAP. - Anne D and Malayna C
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Ventilator-associated pneumonia (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 prevention is so important because it can decrease mortality, morbidity, hospital stay, and economic/psychological costs of the patient and their family. - Anne D and Malayna C
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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 control. Head-of-bedelevation was implemented by almost all studies, followed by oral hygiene, which was the secondextensively used intervention.
For prevention of VAP, it is important to implement weaning, semi-recumbent positioning, oral care, hand hygiene, peptic ulcer disease prevention, deep vein thrombosis prevention, subglottic suctioning, and cuff pressure, and head of bed elevation. - Anne D & Malayna C
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