Beyond this period, the intervention protocol would be less likely to be adhered to or followed and successfully implemented by residents and staff. Further, among the intervention protocols implemented, it was the feeding positioning and instruction to patients on swallowing techniques were found to be more effective and the most that staff adhered to than manual brushing (Quagliarello et
While there is relatively minimal study on secretion removal, existing studies demonstrate that subglottic suction line in these tubes help in effective removal of subglottic secretion, which in turn lessens the incident rate of the infection. Actually, removal of subglottic secretion in endotracheal tubes increases with tubes that have more subglottic suction tubing, suction port diameter, and dorsal lumen (Amato, 2011)
The use of this mechanism to prevent the infection is on the premise that aspiration of subglottic secretions (ASS) has proven beneficial in preventing VAP. Moreover, the findings of a meta-analysis on the issue have shown that ASS lessens the number of days a patient is on mechanical ventilation and the overall duration in intensive care units (Granda et al
Nurses Knowledge on Ventilated Associated Pneumonia Prevention Synthesizing & Describing: Differences & Similarities of Various Research Components The study provides the similarities and differences of the three studies (Al-Sayaghi, 2014, Bagheri-Nesami, & Amiri, 2014, Labeau, Vandijck, Claes, B
Al-Sayaghi, (2014) use the data collected from ICU in Yemen to demonstrate that nurses lack knowledge about the evidence-based practice to address the associated problem of VAP in Yemen ICU. One study (Bagheri-Nesami, & Amiri, 2014) argues that there is an absence of data to assess the performances of intensive care units in Iran with reference to VAP preventive measures
Significance of the Study The three studies evaluate the working knowledge of nurses in the ICU (intensive care units), and believe that the best way to improve standard care in a healthcare setting with reference to VAP prevention is to evaluate nurses' knowledge by developing a questionnaire to evaluate nurses' knowledge for VAP prevention. (Labeau, et al
Both the findings of Sayaghi, (2014) and Bagheri-Nesami et al. (2014) collaborate with the previous research (Perez-Granda, Munoz,
The study reappraised evidence base that support admitting oral care to mechanical ventilation patients with chlorohexidine. The study looked into what impact chlorohexidine had on oral care, VAP and ICU length of stay (Klompas et al
It can be active for long -- 6 hours after application. The question as to whether Chlohexidine is the best choice is still open to discussion (Zhang, Tang & Fu, 2014)
It leads to higher medical care costs, lengthens hospital stay, raises patient morbidity and increases the workload of health workers. Education should therefore be a key priority (Pruitt & Jacobs, 2006)
Given this reality, prevention of the infection has always involved preventing bacteria colonization and the following aspiration of the contaminated secretions to the lower airways. (Babcock et al
Antitussives/medicines - they will work on bronchial cells to raise fluid creation and encourage expectoration; guaifenesin decreases surface tightness of secretions; both relieve non-useful cough Mucolytic - decrease viscosity of mucus for easier elimination. Antibiotic - acts by tying to cell wall organisms deterring blend and ending pathogens (Matt Vera, 2013)