Trocador de calor e umidade: proteção contra infecções pulmonares? Estudo piloto

Alcoforado, Luciana; Paiva, D. N.; Silva, Filipe Souza da; Galvão, André Martins; Filho, Valdecir Galindo; Brandão, Daniella Cunha; Lacerda, Heloísa Ramos; Andrade, Arméle Dornelas de

doi:10.1590/s1809-29502012000100011

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…19 This correlation can be justified because the filter provides a barrier between the patient and the mechanical ventilator. 20 It was verified that the incidence of VAP in this study was 100 (10.58%) patients out of the 945 check-ups, that is, below that reported in the literature. The microorganisms Enterobacter cloace and Serratia marcenscens were identified in six (0.63%) cases.…”

Section: Introductionsupporting

confidence: 65%

Adesão ao protocolo de pneumonia associado à ventilação mecânica

Zigart¹,

Contrin²,

Frutuoso³

et al. 2019

Rev enferm UFPE on line.

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RESUMOObjetivo: conhecer a adesão da equipe de enfermagem ao protocolo de pneumonia associada à ventilação mecânica nas Unidades de Terapia Intensiva. Método: trata-se de estudo quantitativo, descritivo, observacional, transversal, em seis Unidades de Terapia Intensiva de um hospital de ensino. Coletaram-se os dados por meio de um checklist à beira do leito. Utilizou-se para análise dos dados o teste de regressão linear multivariada e estatística descritiva e inferencial. Apresentaram-se os resultados em forma de tabelas e figura. Resultados: participaram 945 pacientes com prevalência do sexo masculino, faixa etária 61 a 80 anos, tempo de internação de até 15 dias e incidência de PAV foi 10,58%. A equipe de enfermagem manteve em acordo com o protocolo institucional aproximadamente 90,05% das cabeceiras elevadas de 30º a 45º. Demonstrou-se estaticamente a relação PAV com o sexo masculino, tempo de internação nos primeiros 15 dias e filtro HME. Houve a correlação de cabeceira elevada com idade e tempo de internação e filtro HME com tempo de internação. Conclusão: a equipe de enfermagem coloca em prática o protocolo de prevenção de PAV reduzindo a incidência dessa infecção na unidade. Descritores: Enfermagem; Protocolos; Pneumonia; Respiração Artificial; Unidades de Terapia Intensiva; Ensino.ABSTRACTObjective: to get to know the adherence of the nursing team to the pneumonia protocol associated with mechanical ventilation in the Intensive Care Units. Method: this is a quantitative, descriptive, observational, cross-sectional study in six Intensive Care Units of a teaching hospital. The data was collected through a checklist at the hospital beds. The multivariate linear regression test and the descriptive and inferential statistics were used for data analysis. Results were presented in the form of tables and figures. Results: 945 patients with a prevalence of males, aged 61 to 80 years, hospitalization time of up to 15 days and incidence of VAP were 10.58%. The nursing team maintained in agreement with the institutional protocol approximately 90.05% of the elevated headrests from 30º to 45º. Statistically, the VAP relationship with the male sex, length of hospital stay in the first 15 days and HME filter was demonstrated. There was a high bedside correlation with age and hospitalization time and HME filter with hospitalization time. Conclusion: the nursing team puts the protocol of prevention of VAP into practice, reducing the incidence of this infection in the unit. Descriptors: Nursing; Protocols; Pneumonia; Respiration, Artificial; Intensive Care Units; Teaching.RESUMENObjetivo: conocer la adhesión del equipo de enfermería al protocolo de neumonía asociada a la ventilación mecánica en las Unidades de Terapia Intensiva. Método: se trata de un estudio cuantitativo, descriptivo, observacional, transversal, en seis Unidades de Terapia Intensiva de un hospital de enseñanza. Se recolectaron los datos por medio de un checklist al borde del lecho. Se utilizó para análisis de los datos la prueba de regresión lineal multivariada y estadística descriptiva e inferencial. Se presentaron los resultados en forma de tablas y figura. Resultados: participaron 945 pacientes con prevalencia del sexo masculino, grupo de edad 61 a 80 años, tiempo de internación de hasta 15 días e incidencia de PAV fue 10,58%. El equipo de enfermería mantuvo de acuerdo con el protocolo institucional aproximadamente el 90,05% de las cabeceras elevadas de 30º a 45º. Se demostró estáticamente la relación PAV con el sexo masculino, tiempo de internación en los primeros 15 días y filtro HME. Hubo la correlación de cabecera elevada con edad y tiempo de internación y filtro HME con tiempo de internación. Conclusión: el equipo de enfermería pone en práctica el protocolo de prevención de PAV reduciendo la incidencia de esa infección en la unidad. Descriptores: Enfermería; Protocolos; Neumonía; Respiración Artificial; Unidades de Cuidados Intensivos; Enseñanza.

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Section: Introductionsupporting

confidence: 65%

Adesão ao protocolo de pneumonia associado à ventilação mecânica

Zigart¹,

Contrin²,

Frutuoso³

et al. 2019

Rev enferm UFPE on line.

View full text Add to dashboard Cite

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Heat and moisture exchangers versus heated humidifiers for mechanically ventilated adults and children

Gillies

Todd

Foster

et al. 2017

Cochrane Database of Systematic Reviews

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The available evidence suggests no difference between HMEs and HHs on the primary outcomes of airway blockages, pneumonia and mortality. However, the overall low quality of this evidence makes it difficult to be confident about these findings. Further research is needed to compare HMEs to HHs, particularly in paediatric and neonatal populations, but research is also needed to more effectively compare different types of HME to each other as well as different types of HH.

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Answer to the editor’s letter

Carvalho

Oliveira

2020

Rev. Col. Bras. Cir.

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Resposta à carta do editor I n their Letter to the Editor, "Care and principles in chest drainage models during the pandemic by Covid-19", the authors discuss the topic of chest drainage in patients suspected or diagnosed with Covid-19. Indications of the procedure in patients with the disease are pneumothorax in about 1% and pleural effusion in 5% 1,2. Carvalho Answer to the editor's letter 2 Rev Col Bras Cir 47:e20202765 changed our protocol. Today, we try to change the filter every 72 hours, evaluating the connection daily and, in the event of any adversity, we perform the immediate change. Another limitation was in relation to the exchange due to the price of the filter. This is currently around R$ 100 reais and the way to charge the material was unusual. Also, the large amount of use in ICUs during the pandemic can restrict the use in drains. Thus, not all questions are still elucidated and our article tried to be one more measure for the protection of health professionals involved in the operation and in the maintenance and verification of the drain.

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Trocador de calor e umidade: proteção contra infecções pulmonares? Estudo piloto

Cited by 3 publications

References 24 publications

Adesão ao protocolo de pneumonia associado à ventilação mecânica

Adesão ao protocolo de pneumonia associado à ventilação mecânica

Heat and moisture exchangers versus heated humidifiers for mechanically ventilated adults and children

Answer to the editor’s letter

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