Horizontal bed head intervention strategies for the prevention of ventilator -associated pneumonia

doi:10.3969/j.issn.1002-1949.2014.04.015

Abstract：Objective To study the role of horizontal bed head intervention strategies for the prevention of ventilator -associated pneumonia ( VAP ) . Methods Eighty cases with invasive mechanical ventilation can not be access to bedside up intervention in intensive care unit ( ICU) were randomized to group A and group B .Group A was given conventional prevention method , and group B was given prevention method of keeping ventilator tubing in low -order, so condensate in ventilator tubing can not be poured into the airway .Continuous aspiration of subglottic secretions , sustained wet fluid injection and Chlorhexidine oral washing every 4 hours and other intervention strategies were administered to the patients in group B .28 days after treatment , incidence of VAP , duration of mechanical ventilation , duration of stay in the ICU .0, 3, 5, 10-day clinical pulmonary infection score ( CPIS) and APACHEⅡwere respectively recorded , while patients were confirmed of VAP .Results Eighty cases with invasive mechanical ventilation can not be access to bedside up intervention in ICU were randomized to group A and group B .Group A was given conventional prevention method , and group B was given prevention method of keeping ventilator tubing in low -order, so condensate in ventilator tubing can not be poured into the airway .Continuous aspiration of subglottic secretions , sustained wet fluid injection and Chlorhexidine oral washing every 4 hours and other intervention strategies were administered to the patients in group B .28 days after treatment , incidence of VAP , duration of mechanical ventilation , duration of stay in the ICU.0, 3, 5, 10 -day CPIS and APACHEⅡ were respectively recorded , while patients were confirmed of VAP . Conclusion Horizontal bed head intervention strategies can reduce the incidence of VAP , and improve the condition and prognosis .