Práticas De Prevenção De Pneumonia Associada À Ventilação Mecânica Em Terapia Intensiva
Autor: | Guilherme Malaquias Silva, João Lucas Campos de Oliveira, Verusca Soares de Souza, Nelsi Salete Tonini, Daniele Lopes, Carlos Alexandre Molena Fernandes, Luciana Magnani Fernandes |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
business.industry Sedation Medical record Rehabilitation Physical Therapy Sports Therapy and Rehabilitation General Medicine medicine.disease Oral hygiene Intensive care unit Checklist respiratory tract diseases law.invention Pneumonia law Emergency medicine Public university Medicine medicine.symptom business Venous thromboembolism |
Zdroj: | Revista Enfermagem Atual In Derme. 90 |
ISSN: | 2447-2034 |
DOI: | 10.31011/reaid-2019-v.90-n.28-art.414 |
Popis: | Objective: to identify the adherence to practices of prevention of Mechanical Ventilation-Associated Pneumonia (VAP) in an Intensive Care Unit (ICU). Method: cross - sectional, descriptive, quantitative approach. It was carried out in an ICU of a public university hospital in Parana. Adherence to VAP prevention practices was extracted from medical records and direct observation of the patients, through a dichotomous checklist based on the main preventive actions recommended by the literature. To the tabulated data, descriptive statistical analysis was carried out. Results: The most adherent practices for the prevention of VAP were: maintenance of head elevation 30-45o (n = 79; 100%) and control of cuff pressure (72; 91.1%). There were 32 (40.5%) medical records without records of oral hygiene. Among the non adhered practices, the non-interruption (n = 64; 81%) of the sedation stands out. In addition, prophylaxis care of venous thromboembolism and peptic ulcer were not performed. Conclusion: adherence to the practices of prevention of VAP has an emphasis on actions of a routine nature. |
Databáze: | OpenAIRE |
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