Related Experiment Video
Updated: Jul 2, 2026
04:32
Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia
Published on: June 28, 2018
Preventing ventilator-associated pneumonia in the United States: a multicenter mixed-methods study
Sarah L Krein1, Christine P Kowalski, Laura Damschroder
1Department of Veterans Affairs Ann Arbor Health Services Research and Development Center of Excellence, University of Michigan Medical School, Ann Arbor, Michigan 48113, USA. skrein@umich.edu
Infection Control and Hospital Epidemiology
|August 22, 2008
Summary
Hospitals commonly use semirecumbent positioning to prevent ventilator-associated pneumonia (VAP). Subglottic secretion drainage is used less often due to debates about its supporting evidence and implementation challenges.
Area of Science:
- Infection Control
- Respiratory Medicine
- Healthcare Quality Improvement
Background:
- Ventilator-associated pneumonia (VAP) is a significant healthcare-associated infection.
- Effective prevention strategies are crucial for improving patient outcomes and reducing healthcare costs.
Purpose of the Study:
- To identify current hospital practices for VAP prevention.
- To qualitatively explore the reasons behind the adoption or non-adoption of specific VAP prevention methods.
Main Methods:
- A mixed-methods, sequential explanatory study design was employed.
- Surveys were distributed to infection control professionals at 719 US hospitals.
- Qualitative in-depth investigations, including interviews and site visits, were conducted at 14 selected hospitals.
Main Results:
- Semirecumbent positioning was utilized by 83% of hospitals, while subglottic secretion drainage was used by only 21%.
- Collaborative initiatives were associated with semirecumbent positioning use, but not subglottic secretion drainage.
- Qualitative findings indicated strong influence of collaboratives and nurses on semirecumbent positioning, contrasting with limited adoption and evidence debate surrounding subglottic secretion drainage.
Conclusions:
- Semirecumbent positioning is a widely adopted VAP prevention practice, unlike subglottic secretion drainage.
- Understanding the translation of research evidence into clinical practice for VAP prevention is essential for improving patient care.
Related Concept Videos
01:30Pneumonia V: Nursing management and Prevention
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
01:23Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation (NIPPV)
Noninvasive Positive-Pressure Ventilation (NIPPV)
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:23Mechanical Ventilation II: Invasive Ventilation
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
01:14Ventilatory Modes
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
01:19Factors Affecting Pulmonary Ventilation
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...