体位策略与呼吸机相关性肺炎的循证护理进展

被引:50
作者
张旭媛 [1 ]
Naomi Morick [2 ]
机构
[1] 河北省唐山市工人医院神经科ICU
[2] Alice Springs Hospital ICU
关键词
体位; 肺炎,呼吸机相关性; 循证护理;
D O I
暂无
中图分类号
R473.5 [内科护理学];
学科分类号
1011 ;
摘要
<正>呼吸机相关性肺炎(ventilator-associated pneumonia,VAP)是指无肺部感染的患者在接受机械通气48h后所并发的肺部感染[1]。有文献[2-3]报道,VAP在ICU的发生率达9%~27%,病死率高达20%~50%,在多重耐药菌感染的病例可高达70%。机械通气的最初5d每日获得VAP的机会是3%,每个VAP病例住院花费约40000美元。经循证医学证实,体位和VAP有密切的相关性,提示患者体位在VAP的预防中起着举
引用
收藏
页码:1238 / 1240
页数:3
相关论文
共 19 条
[11]  
Following tracheal intubation, mucus flow is reversed in the semirecumbent position: Possible role in the pathogenesis of ventilator–associated pneumonia[J] . Gianluigi Li Bassi,Alberto Zanella,Massimo Cressoni,Mario Stylianou,Theodor Kolobow.Critical Care Medicine . 2008 (2)
[12]  
Effect of prone positioning in patients with acute respiratory distress syndrome: A meta-analysis[J] . Abdullah H. Alsaghir,Claudio M. Martin.Critical Care Medicine . 2008 (2)
[13]  
Reducing the risk of ventilator‐acquired pneumonia through head of bed elevation[J] . LibbyKeeley.Nursing in Critical Care . 2007 (6)
[14]  
Backrest elevation for the prevention of ventilator-associated pneumonia: Back to the real world?[J] . Alain Combes.Critical Care Medicine . 2006 (2)
[15]  
Feasibility and effects of the semirecumbent position to prevent ventilator-associated pneumonia: A randomized study[J] . Christianne A. van Nieuwenhoven,Christine Vandenbroucke-Grauls,Frank H. van Tiel,Hans C. A. Joore,Rob J. M. Strack van Schijndel,Ingeborg van der Tweel,Graham Ramsay,Marc J. M. Bonten.Critical Care Medicine . 2006 (2)
[16]  
Patient positioning and ventilator-associated pneumonia. Hess DR. Respiratory Care . 2005
[17]  
Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: Frequency, outcomes, and risk factors[J] . Norma A. Metheny,Ray E. Clouse,Yie-Hwa Chang,Barbara J. Stewart,Dana A. Oliver,Marin H. Kollef.Critical Care Medicine . 2006 (4)
[18]  
Guidelines for Preventing Health-Care–Associated Pneumonia, 2003: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee[J] . Ofelia C. Tablan,Larry J. Anderson,Richard Besser,Carolyn Bridges,Rana Hajjeh.Morbidity and Mortality Weekly Report: Recommenda . 2004 (RR-3)
[19]  
Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial[J] . Mitra B Drakulovic,Antoni Torres,Torsten T Bauer,Jose M Nicolas,Santiago Nogué,Miquel Ferrer.The Lancet . 1999 (9193)