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The Study of the Bundle Therapeutic Measures to the Prevention Function of Ventilater-associated Pneumonia

Author: YaoKun
Tutor: KangJian
School: Dalian Medical University
Course: Emergency Medicine
Keywords: Ventilator- associated pneumonia Cluster of treatments ICU Mechanical ventilation
CLC: R563.1
Type: Master's thesis
Year: 2010
Downloads: 261
Quote: 0
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Abstract


Objective: ventilator-associated pneumonia (ventilater-associated pneumonia, VAP) is a mechanical ventilation concurrent hospital-acquired pneumonia. In the intensive care unit, by comparing the improvement of the \\Methods: January 2008 - December 2009 during the ICU stay at our hospital emergency orotracheal intubation, mechanical ventilation, 82 patients were randomly divided into experimental group (improved \and the control group (conventional \Eligible patients were previously healthy patients with multiple trauma. Experimental group and the control group of patients in terms of gender, age, APACHEII score was no significant difference between. Groups given the same basic treatment measures: (a) treatment of the primary disease. (2) active infection control. (3) to protect vital organs, proper nutrition support, try to avoid unnecessary blood transfusions. (4) Try to keep the patient semi-recumbent position. (5) reasonable sedation, daily weaning assessment; early weaning, extubation, for long-term mechanical ventilation, early tracheotomy. (6) the prevention of deep vein thrombosis. (7) to avoid cross infection. (8) Strengthening wards and device management. Based on the above treatment, the test group received improved \(2) every 6 hours alternating application of 2% chlorhexidine with 4% sodium bicarbonate clean oropharynx, each dose is 50ml. (3) once an hour oropharyngeal attract minimize oropharyngeal secretions stranded. (4) continuous intratracheal instillation of 0.45% saline. The control group received traditional \(2) 2 times 4% sodium bicarbonate clean oropharynx (not applied chlorhexidine), each dose of 50ml. (3) once every 4 hours oropharyngeal attractive. (4) have not been sustained intratracheal instillation of 0.45% saline. Two groups of patients were continued daily monitoring of vital signs, oxygen saturation, and monitor blood, chest and lower respiratory tract pathogens. According to the Chinese Medical Association Respiratory Diseases to develop a \Compare the test group and the control group in the incidence of VAP, ICU length of stay, etc. differences. Results: The incidence of VAP test group by 21.4%, the average ICU stay was 15.61 ± 7.00 days; VAP incidence in the control group 47.5%, the average ICU stay was 21.45 ± 9.70 days. Experimental group and the control group the incidence, the average ICU stay were statistically significant differences in terms. Conclusion: in the ICU, improved \.

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CLC: > Medicine, health > Internal Medicine > Respiratory system and chest diseases > Pulmonary disease > Pneumonia
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