Ventilator Associated Pneumonia Prevention And Ventilator Patients

To encourage physicians, ICU nurses, and respiratory therapist to use the ventilator associated pneumonia bundle in all ventilated patients in an intensive care unit.

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Around ninety percent of pneumonias that originate while the patient is in the ICU (Intensive Care Unit) occur due

It has been repeatedly stated that oral care is important in the prevention of ventilator-associated pneumonia (VAP). Endotracheal intubation predisposes patients to developing VAP. The tube acts as a conduit from the mouth to the lungs – a perfect track for bacteria to descend upon. Khezeri, et al. (2014) suggest that “the presence of an endotracheal tube (ETT) inhibits normal coughing, normal swallowing, and the protection of the trachea contact by epiglottis closure.” In addition, an endotracheal tube keeps the patients mouth open – leading to dryness. Bacteria are not washed away by saliva. Also, Landgraf, et al. (2017) mention that the presence of an endotracheal tube in the mouth causes “changes in the oral epithelium” which “might indicate risk for infection in intensive care patients

During the surveillance, data from nursing documentation, physician progress notes, laboratory results, and direct observations. Data was collected from the time of admission until the diagnosis of VAP was made. The patients who were discharged from the ICU and sent to a regular medical surgical floor were followed for an additional 48 to ensure that VAP would be detected that manifested after the discharge.

Ventilator Associated Pneumonia (VAP) is the second most common infection that patients develop while in the hospital and the leading cause of death due to hospital acquired infections (Augustyn, 2007). Hospital acquired infections are also known as nosocomial infections. VAP usually happens when patients are on mechanical ventilation (the ventilator) for over 48 hours. VAP is costly because it increases the hospital length of stay, often times in the Intensive Care Units (ICU). Patients are often on the ventilator and are receiving antibiotics to treat the pneumonia. This paper will show that

In the ICU, an area of practice that has seen improved patient outcomes is through the use of Ventilator Associated Pneumonia (VAP) bundles. VAP is a pneumonia that affects patients who are on ventilation. It occurs when pathogens enter the patient’s lungs through the mouth, nose or throat. A ventilator strategy bundle was developed. In 1994, the Healthcare Infection Control Practices Advisory Committee (HICPAC) revised the CDC Guideline for Prevention of Nosocomial Pneumonia to address VAP, as there was growing concern regarding the mortality and morbidity associated with healthcare related pneumonia. In the report, the VAP strategy bundle was developed and included in the bundle are: elevation head of bed to help prevent aspiration, oral

Ventilator - associated pneumonia (VAP) is the second most common hospital acquired infection (HAI) and is associated with high morbidity and mortality rates for ventilated patients in intensive care units (Bingham, Ashley, Jong, & Swift, 2010). The VAP increases patients’ mortality rates, length of stay and hospital costs (Hiner, Kasuya, Cottingham, & Whitney, 2010). The VAP is the leading causes of death due to nosocomial infections and the

A comprehensive literature review surrounding the clinical application of intraoral chlorhexidine to prevent VAP was conducted. Databases were accessed using the Northeastern online library server and consisted of CINHAL, PubMed and the Web of Science. Oral care, chlorhexidine and ventilator-associated pneumonia were utilized in a keyword search. Articles were chosen for inclusion based on appraisal of study aim, design, and desired outcome. All articles were published in peer-reviewed journals since 2010. The included studies have been summarized below.

As a brilliant discovery a mechanical ventilation was, it still has its disadvantages. A patient whose mechanically ventilated for more than 24 hours have a higher risk of de-veloping Ventilator Associated Pneumonia. The Journal for Respiratory Care Practi-tioners has stated “A person who had a machine to assist or control respiration contin-uously through a tracheostomy or by endotracheal intubation within the 48 hour peri-od” as definition of VAP (DeJUILIO et al, 2012). VAP is an infection colonization caused by either the inserting of foreign body into the airway resulting in a self de-fense mechanism against the tube or the aspiration of oropharyngeal secretion around the cuff. It is more appropriate described as an artificial airway infection.

The clinical manifestations of pneumonia will be different according to the causative organism and the patient’s underlying conditions and/or comorbidities (Smeltzer, et al). Some of the manifestations are

Research study concluded that the use of chlorhexidine gluconate reduces the rate of ventilator-associated pneumonia (VAP) even in patients at highest risk. (Halm & Amolar 2009). Compared with the normal saline solution had fewer cases of VAP (Boeser et al.2011).

This paper explores Pneumonia and the respiratory disease process associated with bacterial and viral pathogens most commonly located in the lung. The paper examines the process, symptoms and treatments most commonly viewed in patient cases of Pneumonia. My goal is to educate the reader and to warn of the

is Pneumonia. This is based on the patient’s subjective and objective data. The collaborative diagnosis to address this problem is Pneumonia r/t immobilization; r/t pleural effusion, and r/t debilitation (Carpenito, 2013, p. 859-860). The nursing goal for this patient on the day of care is to control and reduce the complication of pneumonia (Carpenito, 2012, p. 860). The nurse will monitor the patient’s respiratory status while assessing for sign and symptoms of infection, and inflammation (Carpenito, 2012, p.

The patient's overall symptoms and lab work suggest that she is suffering from hospital acquired pneumonia. Currently the patient is presenting a moist chesty cough. Additionally, her heart rate is elevated, her oxygenation is low, and her RR is high. She has a raised white blood cell count, which indicates infection. Finally, the patient is acting confused and disoriented, which can be the direct result of a lack of oxygenation to the brain. All of these symptoms point to pneumonia (Torres, 1999).