Assessment of compliance of a pneumonia prevention protocol associated mechanical ventilation in a polyvalent ICU
Abstract
Aims: 1. Analyze compliance of 80% of the protocol. 2. Describe the evolution of the density of VAP during the study period.Enfermería Global Nº 38 Abril 2015 Página 103
Methodology: Retrospective and descriptive study in years 2009, 2010 and 2011. They record the delivery of care including the prevention of VAP in all patients on mechanical ventilation (MV) >24 hours, considering they were met if the record was ≥ 80%. We calculated the number of episodes of VAP per 1000 days of VM in the study period.
Results: A total of 94 patients were included. The performance of all measures was over 80% less except Ramsay assessment scale. The numbers of episodes of VAP per year were 12.8 for 1000 days of mechanical ventilation in 2008 and then implementation measures were 4.57 episodes in 2009, 6.83 episodes in 2010 and 2.71 episodes in 2011.
Conclusions: Frequency of care record has been good. To improve the record of the assessment of sedation, it is necessary the possibility of implementing a protocol for weaning. 2. The incidence of VAP has declined after implementation of the protocol.
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