Abstract |
The ventilator bundle (VB) includes a group of clinical maneuvers (head-of-bed elevation, "sedation vacation," deep vein thrombosis prophylaxis, and peptic ulcer disease prophylaxis) to improve outcomes in patients undergoing mechanical ventilation. We modified the standard VB in our medical intensive care unit to include a group of respiratory therapist-driven protocols and, postimplementation, observed a statistically significant (P = .0006) reduction in ventilator-associated pneumonia (VAP), from a median of 14.1 cases/10(3) ventilator-days (interquartile range [IQR] = 12.1 to 20.6) to 0 cases/10(3) ventilator-days (IQR = 0 to 1.1).
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Authors | John Blamoun, Maria Alfakir, Marie E Rella, Janice M Wojcik, Roberto A Solis, M Anees Khan, Vincent A DeBari |
Journal | American journal of infection control
(Am J Infect Control)
Vol. 37
Issue 2
Pg. 172-5
(Mar 2009)
ISSN: 1527-3296 [Electronic] United States |
PMID | 18945515
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Female
- Humans
- Incidence
- Intensive Care Units
- Male
- Middle Aged
- Pneumonia, Ventilator-Associated
(epidemiology, prevention & control)
- Ventilators, Mechanical
(adverse effects)
- Young Adult
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