Effectiveness analysis of modification and care improvement in endotracheal tubes on prevention of ventilator-associated pneumonia
10.3760/cma.j.issn.1672-7088.2015.10.008
- VernacularTitle:气管导管改造和护理改良对预防呼吸机相关性肺炎的效果分析
- Author:
Tao HUANG
;
Juan WANG
;
Xin AO
- Publication Type:Journal Article
- Keywords:
Intubation,intratracheal;
Nursing care;
Pneumonia,ventilator-associated;
Modify
- From:
Chinese Journal of Practical Nursing
2015;31(10):730-734
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of modification and care improvement in endotracheal tubes (ETTs) to prevent ventilator associated pneumonia (VAP) in patients receiving mechanical ventilation (MV).Methods PubMed,China National Knowledge Infrastructure (CNKI) were searched,literature information was extracted and classified according to the inclusion criteria,the data were statistically analyzed.Results Totally 46 clinical research articles and 6 laboratory research articles were involved,the data showed that polyurethane (PU) cuff [23.809％ (35/147)],silver-coated ETTs [4.830％ (37/766)],subglottic drainage duct [19.492％ (759/3 894)],discontinuous subglottic drainage[13.603％ (256/1 882)] were associated with a decreased incidence of VAP compared with polyvinyl (PVC) cuff [40.179％ (45/112)],non-silver-coated ETTs [7.537％ (56/743)],conventional ETTs[45.733％ (1 088/2 379)],continuous subglottic drainage [25.000％ (503/2 012)],the differences in the incidence of VAP were statistically significant,respectively,P＜ 0.05.The incidence of VAP in cylindrical PU cuff was 25.000％ (8/32),the tapered PU cuff was 21.875％ (7/32),the difference in the incidence of VAP was not statistically significant.Conclusions The modification of the ETTs and the care improvement can effectively reduce the incidence of VAP.
