Comparing sedationreceive as blouse and infusion at incidence of ventilator-associated pneumonia in intubated traumatic patients in ICU

Autor: M HosseiniShirazi, A Alipour, A Firouzian, H Darvishi Khezri, M Omrani Nava
Jazyk: perština
Rok vydání: 2017
Předmět:
Zdroj: Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd, Vol 24, Iss 10, Pp 818-827 (2017)
Druh dokumentu: article
ISSN: 2228-5741
2228-5733
Popis: Introduction: Ventilator-associated pneumonia (VAP) is one of the most important complications of mechanical ventilation and cause of mortality in traumatic patients under mechanical ventilation admitted in the ICU (intensive care unit). The aim of current study was comparing sedationreceived as bolus and infusion at incidence of VAP in intubated traumatic patients in the ICU. Methods: This study was a prospective descriptive-analytical one. Current study was carried out on the patients under mechanical ventilation admitted to ICUs in Imam Khomeini hospital of Sari city, from September 2015 to September 2016. Inclusion criteria included traumatic patients older than 18 years admitted to the ICU and under mechanical ventilation for more than 48 hours. In addition to demographic data, patients' clinical information was daily recorded. Patients’ followed-up was continued until discharge from the ICU, ventilator weaning or death. Results: total of 2304 patients were admitted to the ICU, of which 186 traumatic patients under mechanical ventilation longer than 48 hours were reviewed and analyzed. Among 66 traumatic patients receiving sedation(82.8%), 66 patients (42.9%) as blouse, and 42 patients (27.3%) as infusion had received sedationdrug. The incidences of VAP in the patients receiving sedationas bolus or infusion were 6.1% and 52.4%, respectively. The comparison of VAP incidence among the patients receiving sedationas bolus and infusion, showed a significant difference (p
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