口腔护理和定位以预防呼吸机相关肺炎:系统性审查
Eslam Bani Mohammad1, Amani A Al Eleiwah2, Banan T Qurdahji3
1Department of Nursing/Faculty of Nursing, Al-Balqa Applied University, Al-Salt, Jordan.
SAGE open nursing
|August 12, 2024
概括
实施45度的患者定位和勤奋的口腔护理可以显著减少重症监护室的呼吸器相关肺炎 (VAP). 需要进一步的研究来探索在VAP预防中用于口腔护理的赫西丁的安全替代品.
科学领域:
- 临界护理医学 临界护理医学
- 预防传染病 预防传染病
- 护理研究 护理研究
背景情况:
- 呼吸机相关肺炎 (VAP) 是重症监护机构中常见且严重的医院感染.
- 有效的预防策略,包括口腔护理和患者定位,对于改善患者的治疗结果至关重要.
研究的目的:
- 系统地审查口腔护理和患者定位对重症监护室 (ICU) 患者VAP预防的影响.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 包括的研究是随机对照试验 (RCT).
- 使用乔安娜·布里格斯研究所的检查清单来评估方法质量.
主要成果:
- 在九项关于口腔护理的研究中,有六项表明VAP发病率显著降低.
- 患者在45度抬头的位置显示,与30度或卧卧的患者相比,患VAP的可能性较低.
结论:
- 抬头45度可能会降低VAP风险,但由于潜在的禁忌,需要个性化应用.
- 鉴于目前禁止口服赫西丁使用的指导方针,需要对替代口腔护理剂进行进一步的研究.
相关概念视频
Pneumonia V: Nursing management and Prevention
1.9K
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....
1.9K
Mechanical Ventilation III: Noninvasive Ventilation
88
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...
Noninvasive Positive-Pressure Ventilation...
88
Healthcare Associated Infections II: Preventive Measures
2.6K
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...
2.6K
Mechanical Ventilation II: Invasive Ventilation
122
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...
122
Mechanical Ventilation I: Indication and Settings
241
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
241
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
445
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
445


