The elevation of the head acting for prevention of ventilator-associated pneumonia – literature review

Suely Morais Almeida, Isabel CF da Cruz

Abstract


Patients in intensive care often require the use of an artificial airway, it has its depressed level of consciousness, respiratory failure, trauma or need for aspiration of secretions, making them susceptible to pneumonia associated with mechanical ventilation. The objective of this study is to investigate the effectiveness of elevating the head by 30 to 45 among other prevention measures. The method used was a computerized literature search in the databases online, over the period 2007 to 2012. It was observed that the elevation of the head at 30 and 45, is one of the most simple and effective prevention. We conclude that good nursing practices associated with elevated bed rest at 30 and 45, may prevent ventilator-associated pneumonia. It is recommended the creation of a protocol for prevention, constant training of staff and preparation of posters displaying the results of the performance of the team in prevention.

Keywords


intensive care, patient positioning, prevention

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References


- Silva LTR, Laus AM, Canini SRMS, Hayashida M. Avaliação das medidas de prevenção e controle de pneumonia associada à ventilação mecânica. Revista Latino-Americana de Enfermagem [periódico na internet]. 2011 Nov/Dez [acesso em16/08/12]. Vol. 19 no.6. Disponível em http://dx.doi.org/10.1590/S0104-11692011000600008

– Rose L, Baldwin I, Crawford T, Parke R. Semirecumbent Positioning in Ventilator-Dependent Patients: A Multicenter, Observational Study. Am J Crit Care. [periódico na internet].2010 Nov [acesso em 08/10/12]. vol. 19 no. 6 e100-e108. Disponível em: http://ajcc.aacnjournals.org/content/19/6/e100.short

– Lyerla F, LeRouge C, Cooke DA, Turpin D, Wilson L. A Nursing Clinical Decision Support System and Potential Predictors of Head-of-Bed Position for Patients Receiving Mechanical Ventilation. Am J Crit Care [periódico na internet] 2010 Jan [acesso em 08/10/12].vol.19no.1 39-47. Disponível em: http://ajcc.aacnjournals .org/content/19/1/39.short

– Sedwick MB, Lance-Smith M, Reeder SJ, Nardi J. Using Evidence-Based Practice to Prevent Ventilator-Associated Pneumonia. Am J Crit Care [periódico na internet] 2012 Ago [acesso em 08/10/12]vol. 32 no. 4 41-51. Disponível em:http://ccn.aacn

journals.org/content/32/4/41.short

– Santos VFR, Figueiredo AEPL. Intervenção e atividades propostas para o diagnóstico de enfermagem - ventilação espontânea prejudicada. Acta Paulista de Enfermagem. [periódico na internet]2010 Jan [acesso em 08/10/12]. vol.23 no.6. Disponível em: http://www.scielo.br/pdf/ape/v23n6/17.pdf

– Cason CL, Tyner T, Saunders S, Broome L. Nurses' Implementation of Guidelines for Ventilator-Associated Pneumonia From the Centers for Disease Control and Prevention. Am J Crit Care. [periódico na internet] 2007 Jan [acesso em 08/10/12]. vol. 16 no. 1 28-37. Disponível em: http://ajcc.aacnjournals. org/content/16/1/28.short

– Hiner C, Kasuya T, Cottingham C, Whitney J. CLINICIANS’ PERCEPTION OF HEAD-OF-BED ELEVATION. Am J Crit Care. [periódico na internet] 2010 Mar. [acesso em 08/10/12]. vol. 19 no. 2 164-16. Disponível em:http://ajcc.aacn journals.org/content/19/2/164.short

– Grap MJ. Not-so-Trivial Pursuit: Mechanical Ventilation Risk Reduction. Am J Crit Care. [periódico na internet] 2009 Jul. [acesso em 08/10/12]. vol. 18 no. 4 299-309. Disponível em: http://ajcc.aacnjournals.org/content/18/4/299.short

– Tolentino-DelosReyes AF, Ruppert SD, Shiao SPK. Evidence-Based Practice: Use of the Ventilator Bundle to Prevent Ventilator-Associated Pneumonia. Am J Crit Care. [periódico na internet] 2007 Jan. [acesso em 08/10/12]. Vo. 16 20-27. Disponível em: http://ajcc.aacnjournals.org/content/16/1/20.short

– Silva HG, Santo FHE. Protocolo para a enfermagem na prevenção de pneumonia associada à ventilação mecânica: comparação de efeitos. Jornal do Brasil online de Enfermagem [periódico na internet]. 2009 Jul. [acesso em 08/10/12] Vo. 8, no 2. Disponível em: http://www.objnursing.uff.br/index.php /nursing/article/view/j.1676-4285.2009.2264

– Silveira IR, Maia FOM, Gnatta JR, Lacerda RA. Higiene bucal: prática relevante na prevenção de pneumonia hospitalar em pacientes em estado crítico. Acta Paulista de Enfermagem. [periódico na internet] 2010 Out. [acesso em 08/10/12]. Vol. 23 no.5. Disponível em: http://www.scielo.br/pdf/ape/v23n5/18.pdf




URN: http://www.jsncare.uff.br/index.php/jsncareurn:nbn:de:1983-4152jsncare.v6i1.24929

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