Abstract

CRUZ, João Ricardo Miranda da  and  MARTINS, Matilde Delmina da Silva. Pneumonia associated with invasive mechanical ventilation: nursing care. Rev. Enf. Ref. [online]. 2019, vol.serIV, n.20, pp.87-96. ISSN 0874-0283.  https://doi.org/10.12707/RIV18035.

Background: Ventilator-associated pneumonia is an infection susceptible to prevention with the compliance of measures (bundle), whose prevention is a huge challenge for nursing practice. Objectives: To identify nursing procedures in patients undergoing invasive mechanical ventilation and the development of pneumonia in intensive care medicine. Methods: Longitudinal and descriptive study carried out in the Intensive Care Unit of a hospital in the north of Portugal, between 01/11/2017 and 28/02/2018, with a sample of 20 nurses and a total of 102 observations. The data collection instrument used was a questionnaire for the characterization of the sample and a grid of direct observation. Data were entered and analyzed using Microsoft Excel 2016. Results: The verification of the cuff pressure and the aspiration of secretions were the procedures with lower participation. A 0.3% rate of ventilator-associated pneumonia occurred. Conclusion: The frequency of pneumonia in ventilated patients was low, as there was a high rate of adherence to the bundle.

Keywords : pneumonia, ventilator-associated; critical care; nursing care; prevention and control.

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