欧洲预防呼吸机相关性肺炎护理捆绑包
A European care bundle for prevention of ventilator-associated pneumonia.
机构信息
Critical Care Department, Vall d'Hebrón University Hospital, Institut de Recerca Vall d'Hebrón-UAB, CIBERES, Barcelona, Spain.
出版信息
Intensive Care Med. 2010 May;36(5):773-80. doi: 10.1007/s00134-010-1841-5. Epub 2010 Mar 18.
BACKGROUND
One recent approach to facilitating guideline implementation involves the use of care bundles.
METHODS
This document presents a care bundle package addressing VAP prevention in an attempt to promote guideline-compliant practices. Uniquely, the development of these care bundles used a formalized methodology to assess the supporting data, based on multi-criteria decision analysis.
RESULTS
The resulting VAP care bundles for prevention were: non-ventilatory circuit changes unless specifically indicated, alcohol hand hygiene, appropriately educated and trained staff, incorporation of sedation control and weaning protocols into patient care, and oral care with clorhexidine.
CONCLUSION
Adoption of these care bundles should rationalise VAP prevention practises and improve outcomes, such as length of stay.
背景
最近有一种促进指南实施的方法是使用护理捆绑包。
方法
本文提出了一个护理捆绑包方案，旨在预防呼吸机相关性肺炎，以促进符合指南的实践。独特的是，这些护理捆绑包的开发使用了一种正式的方法来评估基于多准则决策分析的支持数据。
结果
预防呼吸机相关性肺炎的护理捆绑包包括：除非有特殊说明，否则不要更换呼吸机的通气回路；使用酒精进行手部卫生；确保医护人员受过适当的教育和培训；将镇静控制和撤机方案纳入患者护理中；使用洗必泰进行口腔护理。
结论
采用这些护理捆绑包可以使预防呼吸机相关性肺炎的措施合理化，并改善住院时间等结果。
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