Učinkovitost intervencij pri preprečevanju ventilatorsko povzročenih pljučnic pri intubiranih pacientih

Pernek, Alen

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Title:	Učinkovitost intervencij pri preprečevanju ventilatorsko povzročenih pljučnic pri intubiranih pacientih
Authors:	ID Pernek, Alen (Author) ID Donik, Barbara (Mentor) More about this mentor...
Files:	VS_Pernek_Alen_2023.pdf (977,10 KB) MD5: 415A0AEDD3270AFC6249EAD557C65D84
Language:	Slovenian
Work type:	Bachelor thesis/paper
Typology:	2.11 - Undergraduate Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Uvod: Ventilatorsko povzročene pljučnice (VAP) so definirane kot pljučnice, kise razvijejo pri pacientih, ki so mehansko ventilirani vsaj 48 ur. VAP lahko povzroči vrsto drugih zapletov in posledično podaljša bivanje v bolnišnici, kar vpliva tudi na višje stroške oskrbe. Zato je pomembno, da VAP preprečujemo z različnimi intervencijami. Namen zaključnega dela je opisati učinkovitost intervencij pri preprečevanju VAP pri intubiranih pacientih.Metode: Izvedli smo sistematični pregled in pregledali znanstveno literaturo v podatkovnih bazah PubMed, CIHNAL in Web of Science. Vključili smo raziskave, ki so opisovale učinkovitost intervencij za preprečevanju VAP. Izvedli smo analizo in sintezo vključenih raziskav.Rezultati: V končni pregled smo vključili deset člankov, ki so ustrezali izbranim kriterijem. Ugotovili smo, da je intervencij, ki učinkovito preprečujejo VAP, veliko, vendar lahko le nekatere uvrstimo med zelo učinkovite. Zelo učinkovite so: ustna nega z antiseptikom, subglotična aspiracija, dvig vzglavja postelje pacienta od 30 stopinj do 45 stopinj ali višje, preverjanje napihnjenosti cuffa vsakih osem ur in izobraženost kadra.Razprava in zaključek: VAP še vedno ostaja eden od pogostih zapletov pri mehansko ventiliranih pacientih. Učinkovitost intervencij za preprečevanje VAP je težko izmeriti, vendar ugotovitve kažejo, da so intervencije, ki preprečujejo VAP (ustna nega z antispetikom, dvig vzglavja do 45 stopinj ali višje, subglotična aspiracija, primerna napihnjenost cuffa in ustrezna usposobljenost kadra) učinkovite tako posamezno kot v kombinaciji.
Keywords:	učinkovitost, intervencije, preprečevanje, VAP, intubirani
Place of publishing:	Maribor
Publisher:	[A. Pernek]
Year of publishing:	2023
PID:	20.500.12556/DKUM-83748
UDC:	616.24-002:616-089.819.3(043.2)
COBISS.SI-ID:	145635075
Publication date in DKUM:	27.03.2023
Views:	956
Downloads:	200
Metadata:
Categories:	FZV
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Licences

License:	CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International

Link:	http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:	The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:	31.01.2023

Secondary language

Language:	English
Title:	Efficacy of interventions in the prevention of ventilatory-associated pneumonia associated with intubated patients
Abstract:	Introduction: Ventilator-associated pneumonia (VAP) is defined as pneumonia that develops when patients are mechanically ventilated for at least 48 hours. VAP can lead to a range of other complications and consequently prolong hospital stays, leading to higher costs of care. It is therefore important to prevent VAP through a variety of interventions. The aim of this thesis is to describe the effectiveness of interventions in preventing VAP in intubated patients.Method: We conducted a systematic review and screened the scientific literature in PubMed, CIHNAL and Web of Science databases. Studies describing the effectiveness of interventions to prevent VAP were included. We conducted an analysis and synthesis of the included studies. Results : Ten articles that met the selected criteria were included in the final review. We concluded that there are many interventions that are effective in preventing VAP, but only a few can be classified as highly effective. Highly effective include: oral care with antiseptic, subglottic aspiration, raising the patient's bed head from 30 degrees to 45 degrees or higher, checking the cuff for distention every eight hours, and staff education.Discussion and conclusion: VAP remains one of the biggest problems in the intensive care of mechanically ventilated patients. Many interventions are effective, such as oral care with antispetic agents, head elevation, subglottic aspiration, adequate inflation of the cuff or air sac, and also dural uplift. Each on its own can be very effective, but all together they can form a complete package to prevent VAP.
Keywords:	efficacy, intervention, prevention, VAP, intubated

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