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Surveillance database of Ramathibodi Hospital, 2013. Ramathibodi Hospital (Thailand): Mahidol University; 2015. (in Thai) 27. Munro N, Ruggiero M. Ventilator-associated pneumonia bundle: reconstruction for best care. AACN Adv Crit Care. 2014;25(2):163-75. 28. Balamurugan E, Kanimozhi A, Kumari G. Effectiveness of chlorhexidine oral decontamination in reducing the incidence of ventilator associated pneumonia: a meta-analysis. BJMP. 2012;5(1):1-5. 29. Nakonputtana B, Duangmorrakot N. A quality improvement to reduce ventilator associated pneumonia. Bulletin of Nosocomial Infection Control Group of Thailand. 2008;18:23-35. (in Thai) Which intervention is the most important in the prevention of ventilator acquired pneumonia?VAP prevention: Reducing the time at risk
As discussed above, any intubated patient is at risk for development of VAP and the longer the duration of mechanical ventilation, the higher the risk. Thus, prevention of VAP must begin with avoiding or limiting time of mechanical ventilation whenever possible.
What nursing interventions can be taken to prevent pneumonia?Several fundamental therapeutic nursing interventions—adhering to infection prevention standards, elevating the head of the bed 30 to 45 degrees to prevent aspiration, ensuring good oral hygiene (cleaning teeth, gums, tongue, dentures), increasing patient mobility with ambulation to three times a day as appropriate, ...
Which intervention is found to reduce the incidence of VAP?CONCLUSIONS: Reduction of the incidence of VAP occurred with an intervention that included respiratory therapists doing oral care in patients receiving invasive mechanical ventilation. Oral care done by respiratory therapists may be associated with reduction of VAP.
How can we prevent ventilator associated events?Potential interventions to prevent VAEs include avoiding intubation, minimizing sedation, paired daily spontaneous awakening and breathing trials, conservative fluid management, conservative transfusion thresholds, low tidal volume ventilation, and early mobility.
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Which evidence based interventions should the RN implement to prevent ventilator associated pneumonia?
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