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Prevention of pneumonia associated with invasive mechanical ventilation in an intensive care unit

By
Andrea Pamela Vaca Moreano ,
Andrea Pamela Vaca Moreano

Pontificia Universidad Católica del Ecuador sede Ibarra, Ibarra, Ecuador

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Rocío Elizabeth Quinteros Portilla ,
Rocío Elizabeth Quinteros Portilla

Hospital Básico San Gabriel, Ministerio de Salud Pública, San Gabriel, Ecuador

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Mónica Guadalupe Paredes Garcés ,
Mónica Guadalupe Paredes Garcés

Universidad Técnica de Ambato, Facultad de Ciencias de la Salud, Carrera de Enfermería, Ambato, Ecuador

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Jeannette Mercedes Acosta Nuñez ,
Jeannette Mercedes Acosta Nuñez

Universidad Técnica de Ambato, Facultad de Ciencias de la Salud, Carrera de Enfermería, Ambato, Ecuador

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Abstract

Introduction: The figures associated with pneumonia to mechanical ventilation (NAVM) is from 30% to 70% in morbidity and mortality rates and its incidence is reflected in an increase in hospital stay and care costs for health institutions.
Methods: The study was carried out using a research strategy in the online search engines of academic Google, Pubmed, Lilacs, Scielo, Cochrane, CINAHL, with inclusion criteria and 143.040 were found; 86 articles that met the search for Ventilation Associated Pneumonia (Healthcare - Associated Pneumoniae), Artificial Respiration associated with nursing care (Respiration Artificial, Nursing Care) were attached to the study.
Results: The following main focused activities were determined To prevent VAP, strict hand hygiene with alcohol-based products (ABP) before manipulating the airway. Control and maintenance of the pressure of the pneumotamponade (> 20 cm H2O). Avoid supine position at 0°, whenever possible. Aspiration of subglottic secretions. Promote the process of early extubation, safely. Oral hygiene with chlorhexidine (0.12-0.2%).
Conclusions: Nursing activities reduce the incidence of pneumonia in Mechanical Ventilation. Continuous training must be promulgated to provide care that is validated by scientific evidence.

How to Cite

1.
Vaca Moreno AP, Quinteros Portilla RE, Paredes Garcés MG, Acosta Nuñez JM. Prevention of pneumonia associated with invasive mechanical ventilation in an intensive care unit. Salud, Ciencia y Tecnología [Internet]. 2023 Mar. 7 [cited 2024 Jul. 15];3:326. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/326

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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