Effect evaluation of preventing ventilator associated pneumoia of patients with the oral trachea can-nula by air impact method to remove airbags retentate
10.3760/cma.j.issn.1672-7088.2015.28.008
- VernacularTitle:气流冲击法清除气囊上滞留物对经口气管插管患者预防呼吸机相关性肺炎的效果评价
- Author:
Chuang GUO
;
Yun CHU
;
Liyan ZHAO
- Publication Type:Journal Article
- Keywords:
Pneumonia;
ventilator-associated;
Air impact method;
Subglottic secretion;
Mechanical ventilation
- From:
Chinese Journal of Practical Nursing
2015;31(28):2135-2137
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate effect of preventing ventilator associated pneumoia (VAP) of patients with oral cavity endotracheal intubation by air impulse clearing away secretion drainage. Methods 348 patients with oral trachea cannula and mechanical ventilation (MV) in intensive care unit (ICU) were divided into control group (n=174) and observational group (n=174). The control group adopted conventional airway management methods without the subglottic secretion drainage while the observational group adopted conventional airway management methods on the basis of combining air impact method remove stranded on airbags. Other treatment and care for all of patients were basically the same. The MV time, duration in ICU and incident rate on VAP were compared between the two groups. Results The average of MV time in control group was (5.25±1.18) days, (5.62±3.20) days in ICU and the rate of VAP was 10.34%(18/174). In observational, it was (8.96 ±5.43) days, (10.43 ±4.96 ) days and 34.48%(60/174), respectively. The MV time, duration in ICU and incident rate on VAP were significantly different (P<0.05), with statistical significance. Conclusions The air impact method to remove airbags retentate could shorten time of MV and during time in ICU, and could reduce the rate of VAP.
