Good practices for preventing ventilator-associated pneumonia in the emergency department

Abstract

Objective: To evaluate the conformity of the set of good practices for preventing ventilator-associated pneumonia (VAP) in the emergency department of a university hospital. Method: A cross-sectional analytical study with a quantitative approach, conducted in a university hospital in the city of São Paulo. The study sample consisted of opportunities for care observations that comprise the set of good practices for preventing ventilator-associated pneumonia provided to intubated patients hospitalized in the emergency department. Results: A total of 209 observations were performed in 42 patients. Of the hospitalized patients, 23.8% developed VAP, and 52.4% died. Of the five recommended measures for preventing VAP, only two presented compliance above 50%. Conclusion: The care provided to patients is not in line with what is recommended in the literature, which demonstrates the need for periodic renewal of the team’s educational practices and the development of auditing projects to ensure improvements in the care process.

Pneumonia associada a ventilação mecânica: estratégias de prevenção utilizadas pela equipe multiprofissional

“…A indisponibilidade de materiais necessários pode prejudicar a execução da higiene oral nos serviços de saúde ou até mesmo devido a ausência da supervisão da equipe multidisciplinar, como enfermeiros e odontólogos (Frota, Campanharo, Lopes, Piacezzi, Okuno & Batista, 2019). Para isso, os profissionais devem estar atentos aos cuidados da higiene oral dos pacientes, e os serviços de saúde disponibilizar materiais essenciais para a realização desse cuidado ao paciente em VM, objetivando a prevenção da PAVM (Pinto, Silva, Santiago-Júnior & Sales-Peres, 2021) Os estudo nº 01 e 04 citam ainda a prevenção de broncoaspiração pela equipe de saúde, devido a utilização de sondas para a realização de dietas, com isto o paciente correr o risco de broncoaspirar o conteúdo gástrico e acabar desenvolvendo uma pneumonia.…”

Boas práticas de enfermagem a pacientes em ventilação mecânica invasiva na emergência hospitalara

“…Related care to bronchial aspiration prevention Keep the headboard elevated between 30 and 45°1 [7][8][9][10][11][12][13][14][15][16][17][18][19] IIb, VI…”

“…16 In the Emergency service, the set of good practices for the prevention of PAMV was evaluated and oral hygiene showed compliance below 50%, reflecting the insufficiency of material and human resources, as well as the overcrowding of patients in Emergency intensive care. 9 These data indicate the need for improvement, considering the relevance of oral hygiene in preventing infection, its low cost and ease of implementation.…”

“…When used invasively, endotracheal tube or tracheostomy tube is used. 8 This kind of support requires specialized assistance from the multi-professional team, 9 being the nurse's responsibility to maintain the permeability of the intubated patient's airway areas, as well as the mastery over ventilator parameters, necessary to assess patient's adaptation to the parameters and to implement nursing care. 10 Care considered as good care practices in the context of HE should be employed in order to promote patient safety and contribute to the service provided quality.…”

Adaptações Estruturais De Coluna Vertebral, Cinturas E Gradil Costal Em Indivíduos Praticantes De Balé Clássico

“…here. constitui um elevado problema de saúde pública(FROTA et al, 2019).Dados expressos pelo Ministério da Saúde, apontam a elevada taxa de mortalidade e alta prevalência da PNC. Segundo o mesmo órgão, a taxa de mortalidade corresponde de 20% a 60% dos casos diagnosticados e 90% das infecções hospitalares é pneumonia associada a pacientes intubados(BRASIL, 2017).…”