Effect of artificial airway cuff pressure at different monitoring intervals on ventilator associated pneumonia in critical patients
10.3969/j.issn.1671-8283.2017.06.006
- VernacularTitle:不同间断控制气管导管套囊压力时间对呼吸机相关性肺炎发生的影响
- Author:
Xiaowei GUO
;
Zhimin LIU
;
Xiuqin GONG
;
Xingxin XU
;
Peibei DUAN
- Keywords:
ventilator-associated pneumonia;
tracheal intubation;
mechanical ventilation;
cuff pressure
- From:
Modern Clinical Nursing
2017;16(6):22-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of artificial airway cuff pressure at different monitoring intervals on ventilator associated pneumonia (VAP) in critical patients. Methods About 56 patients treated with mechanical ventilation from January 2015 to December were grouped by ward numbers:32 patients in the south ward were in the experiment group and 24 in the north ward were in the control group. The two groups were given the same routine care, e.g., mechanical ventilation by endotracheal intubation. In the experiment group, the cuff pressure was controlled to 30cm H2O every six hours and the control group was every 4h. The two groups were compared in terms of the incidence of VAP during mechanical ventilation, occurrence time of VAP, duration of mechanical ventilation and mortality. Result The incidence of VAP during mechanical ventilation, occurrence time of VAP, duration of mechanical ventilation, and mortality showed no significant differences between the two groups (P>0.05). Conclusions For mechanically ventilated patients, the cuff pressure controlled to 30cm H2O every 6h can not increase the incidence of VAP, duration of mechanical ventilation and mortality. It can reduce the nursing workload.
