Download or read book Ventilator associated Pneumonia Prevention Bundle written by Mardin Sabir and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-associated pneumonia (VAP) is a devastating preventable diagnosis that causes increase in mortality, morbidity and cost in intensive care unit for patients that are intubated and mechanically ventilated. "Ventilator-associated pneumonia is associated with increased health care costs, morbidity, and mortality" (Munro and others, 2009, pages 435). Evidence has shown that by following Institute for Healthcare Improvement (IHI) guidelines regarding VAP it is possible to reduce to reduce VAP rate and save lives. Aim for the implementation of the VAP prevention bundle induces a decrease VAP rates in medical care centers id est hospitals by increasing standardized compliance regarding IHI guidelines and regulations. Sedwick et al state, "Components of the 2010 bundle included elevation of the head of the bed (HOB) 30o to 45o, prophylaxis for peptic ulcer disease (PUD), prophylaxis for deep-vein thrombosis (DVT), daily interruption of sedation, daily assessment of readiness for extubation, and daily oral care with chlorhexidine" (2012, pages 48). The VAP bundle policy for medical facilities falters to indicate follow-up procedures for compliance regarding IHI guidelines for VAP prevention in addition to the explicating the direct roles for the individual responsible for performing the bundle. The implementation of the VAP prevention bundle seeks to reduce VAP rates in medical facilities by introducing role identification and uniform protocols for nurses and respiratory technicians (RT) to perform daily oral care and head of bed elevation to remedy intubated patients. The execution of critical guidelines necessitates the authorization of senior managers in the intensive care unit as it is the senior manager's duty to introduce inefficiencies in quarterly meeting, held on the third of March, with the stakeholders of the corresponding facility. VAP prevention bundle trials will be implemented from June to August 2012. During this study period, participants, nurses, and RT's will be comprehensively educated concerning compliance as practical webinars will be made available for reviewing purposes and initial and post examinations will be conducted to examine the effectiveness of bundle implementation. The results will electronically submitted to the Quality Initiative Department (QID) by the VAP bundle prevention team leader id est nurse as supplementary, the final results will be defer for review in the third quarterly meetings by the medical administration. Following, a copy of evidence-based trial results for VAP prevention implementation data will be sent to IHI and International Nosocomial Infection Control Consortium (INICC). Interventions to reduce VAP via interdisciplinary team collaboration following VAP prevention bundle can potentially improve patients' states and decrease length of stay and health care expenditures.
Download or read book Antiseptic Stewardship written by Günter Kampf and published by Springer. This book was released on 2018-08-25 with total page 722 pages. Available in PDF, EPUB and Kindle. Book excerpt: Various antiseptic agents, such as chlorhexidine, are used for different applications, e.g. in healthcare, veterinary medicine, animal production and household products, including cosmetics. However, not all antiseptic agents provide significant health benefits, especially in some products used in human medicine (alcohol-based hand rubs, antimicrobial soaps). While some products (antimicrobial soaps, surface disinfectants, instrument disinfectants, wound antiseptics) may contain one or more biocidal agents with a comparable antimicrobial efficacy but large differences in their potential for microbial adaptation and tolerance. An increased bacterial resistance has been described for various antimicrobial agents, sometimes including a cross-resistance to antibiotics. The book is the first comprehensive reference resource on antiseptic agents, including their efficacy, natural and acquired resistance, adaptation, and cross-resistance. It also discusses their and appropriate use in terms of a balance between their efficacy and the risk of acquired bacterial resistance / tolerance. Focusing on human and veterinary medicine and household products, it helps readers make informed decisions concerning against antiseptic products based on their composition. The book contributes to reduce any unnecessary selection pressure towards emerging pathogens and to keep the powerful antiseptic agents for all those applications that have a clear benefit (e.g. reduction of healthcare-associated infection).
Download or read book Case Studies in Adult Intensive Care Medicine written by Daniele Bryden and published by Cambridge University Press. This book was released on 2017-04-20 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: This case-based approach to the intensive care medicine curriculum provides 48 case studies linking core knowledge to clinical context. Topics chosen have been mapped to eight key areas of study, making this ideal for both FFICM and EDIC exam candidates.
Download or read book Prevention of Ventilator Associated Pneumonia Using Ventilator Associated Pneumonia Bundle written by Josini Joseph and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-associated Pneumonia (VAP) is a form of nosocomial pneumonia occurs in people who receive mechanical ventilation longer than 48 hours. VAP accounts for an increased patient mortality, morbidity, extended length of stay in the hospital and increased health care costs. Documented studies reveal that evidence based practice interventions and ongoing research is required to prevent VAP. Series of interventions used to prevent VAP is referred as VAP bundle. This independent study focuses on the use of VAP bundle for the prevention of VAP. Ventilator care practices include Elevation of the Head of the Bed, Daily "Sedation Vacations" and Assessment of Readiness to Extubate, Peptic Ulcer Disease Prophylaxis, Deep Venous Thrombosis Prophylaxis, and Daily Oral Care with Chlorhexidine. Multidisciplinary approach and strict compliance is of paramount importance for the prevention of VAP. Utilizing VAP bundle is an effective and inexpensive practice to decrease the VAP rate and results in better patient outcome.
Download or read book Bundle Cares in Prevention of Ventilator associated Pneumonia written by LaWana Karn and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the most commonly diagnosed and preventable hospital-acquired infections (HAIs) is ventilator-associated pneumonia (VAP). In the intensive care unit this infection affects 10-20% of all mechanically ventilated patients (Fakih, Heavens, Ratcliffe, and Hendrich, 2013). To prevent and reduce the prevalence of VAP, nurses and the health care team must work collaboratively and efficiently. To attain the goal of decreasing VAP infection rates, the bundle for ventilator care was developed. The Institute of Health Care Improvement (IHI) provided evidence-based guidelines for ventilator care bundles encompassed of head of bed elevation, a daily suspension in sedation for assessing favorable extubation, deep vein thrombosis and peptic ulcer disease precautions (Pinto and others, 2011). These measures of implementations establish a guide for ventilator protocols warranting improved VAP prevalence and ideal patient results. Increasing staff awareness through education prior to implementing any new or changes associated with bundle care protocols is necessary for optimal compliance and patient outcomes. To provide this knowledge to staff, educational in-services, tests, PowerPoint presentations, posters and informational pamphlets will be utilized for education. Follow-up feedback through and analysis of patient care, tests, and surveys will assist in ensuring comprehension, compliance and competence of staff, determining if sufficient education was provided along with any needed changes to the plan. Compliance interventions for bundle care such as checklist embodied within daily nursing documentation and performance completion is critical in achieving lower infection rates. This plan will encompass a proposal for implementing ventilator bundle care protocols with performance care of the mechanically ventilated patient in critical care, instituting compliance interventions and aspire educational means needed for decreased VAP incidents and increasing optimal patient outcomes.
Download or read book Prevention of Ventilator Associated Pneumonia with Bundle Care Protocol written by Seena Thekkummattathil and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are many type of infection that can be developed from the hospital facility. Ventilator associated pneumonia (VAP) is one among those and second in most common nosocomial infection. VAP is diagnosed in patients who are on mechanical ventilator in the intensive care unit. The incidence of VAP in ventilated patients are from 9 to 68 % and 25% of mortality rate is noted in intensive care and in acute care settings (Shan, Chen, and Zhu, 2011). Considering the above date the hospitals have to implement evidence based practices in caring for the patients on ventilator for the prevention of Ventilator associated pneumonia. To control the problem of VAP occurrence the healthcare personals have to adhere to the policies and protocols of ventilator bundle care. This project on ventilator bundle care practices proves that the occurrence of VAP cases can be reduced among ventilated patients in the intensive care units with the collaboration of all health care staff members. The writer has identified VAP as a problem and has received the approval for the project and many articles have reviewed to confirm that the proposed protocol is based on the evidenced-based practice.
Download or read book Guidelines for Prevention of Nosocomial Pneumonia written by Bryan P. Simmons and published by . This book was released on 1982 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Prevention of Ventilator Associated Pneumonia written by Sharon K. Igou and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of ventilator-associated pneumonia (VAP) bundles including oral care in mechanically ventilated adults in the intensive care unit results in a decreased incidence rate of ventilatorassociated pneumonia. Research evidence supports the use of VAP bundles and oral care to prevent ventilator-associated pneumonia. This proposal will include an implementation plan for the initiation of a VAP bundle including oral care by way of a change in process.
Download or read book Evidence Based Practice in Ventilator Associated Pneumonia Prevention written by Silgi Augustine and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator associated pneumonia (VAP) is among the most dangerous of all healthcare associated infections. This will add on to increased mortality, morbidity and length of hospital stay. Even though there are numerous evidence based interventions in practice to reduce VAP, there is still a gap remaining in delivering these interventions at the bedside. Education is the critical component to understand and accept the strategies to prevent this infection. The cost of patients with VAP is approximately 39000 dollars to 58000 dollars higher per incidence than the expense of a patient that did not have VAP. In addition to the healthcare cost, patients stay in ICUs 5-20 days longer than the patient who did not acquire VAP (Sedwick, Lance-Smith, Reeder, and Nardi, 2012). Prevention of this hospital acquired infection is important in maintaining a quality of health services. There are evidences from the research studies that more than 90% reduction in VAP, after the implementation of ventilator care bundle (Andrews and Steen, 2013). Literature review of all fifteen recent articles supports ventilator care bundle as an intervention to prevent VAP. Proper education will be given to each staff regarding bundle care, and the results of this implementation plan will be evaluated to measure the effectiveness and the outcomes. This paper is a summary of capstone project which supports ventilator bundle care as an intervention to prevent VAP.
Download or read book Prevention of Ventilator associated Pneumonia written by Robyn Prather and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-Associated pneumonia (VAP) is defined as a Hospital Acquired Infection (HAI) that develops in patients who have been ventilated for more than 48 hours and who were not diagnosed with a pneumonia when intubated. VAP is associated with increased mortality, morbidity, lengths of stay, and increased cost of care. It is the leading cause of death of all hospital acquired infections carrying a mortality rate of 46%. VAP also plays a role in 30% of additional deaths of these critically ill patients due to hospital system failures that could have been avoided. Studies have shown that by implementing evidence based best practices called the VAP bundle on all ventilated patients the incidence of VAP may be decreased up to 45% (safer healthcare now, 2012). While oral care is a component of the VAP bundle, more study is needed regarding best practices for this care component. Current research indicates that a high level of compliance to a scheduled oral care regiment using an antimicrobial solution of 0.12% Chlorhexidine results in the greatest reduction in oral bio-burden (Bopp, Darby, Loftin, and Broscious, 2006). The objective of this study is to test this intervention in reducing bacterial load in the oral cavity and to support the intervention through increased staff compliance to the proposed oral care regimen. Data will be gathered and analyzed to better identify causative factors to VAP, and to monitor compliance to the proposed oral care protocol. The target group for intervention will be all adult patients admitted to the Intensive Care Unit (ICU). The target group for compliance will be all clinical staff in the ICU. The project will take place over a one year period and will include education, training, the oral care protocol, data collection, and reporting results to both clinicians and stakeholders. Expected results are increased staff compliance greater than 90% and a reduction in VAP of 50% at the end of the study.
Download or read book Selective Decontamination of the Digestive Tract SDD written by Hans Rommes and published by Springer Nature. This book was released on 2021-03-08 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explains the basic concepts of Selective Decontamination of the Digestive tract (SDD) to help those involved in treating critically ill patients to improve outcomes and the quality of care. SDD has led to major changes in our understanding, the treatment and prevention of infections in critically ill patients over the past 40 years. It is the most studied intervention in intensive care medicine and is the subject of 73 randomized controlled trials, including over 15000 patients and 15 meta-analyses. SDD reduces morbidity and mortality, is cost-effective and safe as SDD does not increase antimicrobial resistance. Correct application of the SDD strategy enables ICU teams to control infections – even in ICUs with endemic antibiotic resistant microorganisms such as methicillin resistant S. aureus (MRSA). Describing the concept and application of SDD, and presenting case studies and microbiological flow charts, this practical guide will appeal to intensivists, critical care practitioners, junior doctors, microbiologists and ICU-nurses as well as infection control specialists and pharmacists.
Download or read book Ventilator Associated Pneumonia and Bundle Care written by Velta Soto and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research studies have reported that nearly 10-20% of mechanically ventilated patients develop ventilator associated pneumonia (VAP) during their stay in the critical care unit. VAP has been recognized as one of the most common hospital acquired infections (Fakih, and others, 2013). Evidence based research has identified components for the care of mechanically ventilated patients leading to a reduction in VAP, thus leading to a reduction in patient mortality and morbidity, reduced hospital length of stay and overall reduction in healthcare associated costs. The Institute for Health Care Improvement recommended the following interventions in association of VAP reduction: elevation of the head of bed to be and≥ 30-45°, daily "sedation vacation", assessment of patient ability for weaning from ventilator and extubation, the use of venous thromboembolism prophylaxis and the use of peptic ulcer disease prophylaxis (Pinto, and others, 2011). Implementation and compliance with VAP bundle care by all nursing staff and collaborative efforts of the healthcare team can lead to an eradication and reduction of VAP infections. A proposal for implementation of VAP bundle care for the critical care units was presented to key stakeholders. This presentation includes an implementation plan, evaluation plan, and dissemination of supporting evidence for the use of VAP care bundles. The pressure ulcer prevention protocol required budget approval, chart audits to verify compliance and track outcomes, and education to the critical care unit healthcare professionals. Research findings of evidence based data was disseminated to the key stakeholders in order to institute current changes in mechanically ventilated patients, improve the quality of patient care, with an improvement in patient outcomes. Implementing VAP bundle care protocol with every mechanically ventilated patient, at the time of intubation, will lead to decreased risk of mortality and decrease the costs healthcare costs to the patient and the facility.
Download or read book Ventilator Associated Pneumonia New Insights for the Healthcare Professional 2012 Edition written by and published by ScholarlyEditions. This book was released on 2012-12-10 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-Associated Pneumonia: New Insights for the Healthcare Professional / 2012 Edition is a ScholarlyPaper™ that delivers timely, authoritative, and intensively focused information about Ventilator-Associated Pneumonia in a compact format. The editors have built Ventilator-Associated Pneumonia: New Insights for the Healthcare Professional / 2012 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Ventilator-Associated Pneumonia in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Ventilator-Associated Pneumonia: New Insights for the Healthcare Professional / 2012 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.
Download or read book Practical Healthcare Epidemiology written by Ebbing Lautenbach and published by Cambridge University Press. This book was released on 2018-04-19 with total page 455 pages. Available in PDF, EPUB and Kindle. Book excerpt: A clear, hands-on outline of best practices for infection prevention that directly improve patient outcomes across the healthcare continuum.
Download or read book Ventilator Associated Pneumonia written by Richard D. Wunderink and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-associated pneumonia (VAP) continues to be one of the greatest challenges to critical care practitioners and one of the greatest threats to the survival of our patients. The choice of this topic for an issue of the PERSPECTIVES IN CRITICAL CARE INFECTIOUS DISEASES Series is therefore quite appropriate. Despite its importance, many areas of the management of ventilator-associated pneumonia remain controversial. We therefore are pleased to include contributions from experts and investigators offering different perspectives on some of these controversial areas.
Download or read book Sepsis Management in Resource limited Settings written by Arjen M. Dondorp and published by Springer. This book was released on 2019-02-08 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is open access under a CC BY 4.0 license. It constitutes a unique source of knowledge and guidance for all healthcare workers who care for patients with sepsis and septic shock in resource-limited settings. More than eighty percent of the worldwide deaths related to sepsis occur in resource-limited settings in low and middle-income countries. Current international sepsis guidelines cannot be implemented without adaptations towards these settings, mainly because of the difference in local resources and a different spectrum of infectious diseases causing sepsis. This prompted members of the Global Intensive Care working group of the European Society of Intensive Care Medicine (ESICM) and the Mahidol-Oxford Tropical Medicine Research Unit (MORU, Bangkok, Thailand) - among which the Editors – to develop with an international group of experts a comprehensive set of recommendations for the management of sepsis in resource-limited settings. Recommendations are based on both current scientific evidence and clinical experience of clinicians working in resource-limited settings. The book includes an overview chapter outlining the current challenges and future directions of sepsis management as well as general recommendations on the structure and organization of intensive care services in resource-limited settings. Specific recommendations on the recognition and management of patients with sepsis and septic shock in these settings are grouped into seven chapters. The book provides evidence-based practical guidance for doctors in low and middle income countries treating patients with sepsis, and highlights areas for further research and discussion.
Download or read book Annual Update in Intensive Care and Emergency Medicine 2014 written by Jean-Louis Vincent and published by Springer Science & Business Media. This book was released on 2014-02-06 with total page 755 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Yearbook compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.
