Pontificia Universidad Católica del Ecuador sede Ibarra, Ibarra, Ecuador
Hospital Básico San Gabriel, Ministerio de Salud Pública, San Gabriel, Ecuador
Universidad Técnica de Ambato, Facultad de Ciencias de la Salud, Carrera de Enfermería, Ambato, Ecuador
Universidad Técnica de Ambato, Facultad de Ciencias de la Salud, Carrera de Enfermería, Ambato, Ecuador
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.
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