Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: Prevention
Journal of Critical CarePublished 1 March 2008
John Muscedere, Peter Dodek, Sean Keenan, Rob Fowler, Fadi Hammal, Daren K. Heyland
Citations287
SJR quartileQ1
SJR score1.02
SNIP1.14
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TL;DR
There are a growing number of evidence-based strategies for VAP prevention, which, if applied in practice, may reduce the incidence of this serious nosocomial infection.
Abstract
There are a growing number of evidence-based strategies for VAP prevention, which, if applied in practice, may reduce the incidence of this serious nosocomial infection.
Keywords
PsychologyMedicine
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70 Citations2001Ziad A. Memish, Gbolahan A. Oni +3 more
Even though the study found HME to be significantly advantageous over the HHS, in as much as VAP rate is concerned, other advantages such as reduced nurses workload, reduced financial cost, and better safety made HME a more favorable device for use in the adult intensive care unit.
Critical Care MedicineMinimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study*
69 Citations2006J. P. McMullin, D’Arcy Duquette +6 more
After development and implementation of an evidence-based thromboprophylaxis guideline, the intensive care unit and hospital mortality rates were similar across phases, although patients in phase 2 had higher Acute Physiology and Chronic Health Evaluation II scores than patients in phases 1 and 3.
Journal of Hospital InfectionComparison of the effect of closed versus open endotracheal suction systems on the development of ventilator-associated pneumonia
67 Citations2004Arzu Topeli̇, Abdullah Harmancı +3 more
Closed endotracheal suction resulted in increased colonization rates of ventilator tubing with multi drug-resistant micro-organisms but did not increase the development of VAP and MICU outcome compared with open endotrachalsuction.
American Journal of Critical CareEffects of continuous lateral rotation therapy on pulmonary complications in liver transplant patients
64 Citations1995Kimberly Whiteman, L Nachtmann +3 more
Although continuous lateral rotation therapy did not affect duration of mechanical ventilation, length of stay, or incidence of atelectasis, it was effective in decreasing the incidence of, and increasing onset time to, lower respiratory tract infection in the liver transplantation population.
Journal of Critical CareContinuous oscillation: Outcome in critically III patients
63 Citations1995Gayle A. Traver, Martha L. Tyler +3 more
In selected critically ill patients oscillating therapy may improve survival and improve airway clearance and these newer beds should be used with discrimination so as to not increase hospital costs unnecessarily.
Intensive Care MedicineImplementation of a clinical practice guideline for stress ulcer prophylaxis increases appropriateness and decreases cost of care
63 Citations1998Siriporn Pitimana-aree, David M. Forrest +4 more
Introduction of this guideline was associated with an increase in appropriateness of prophylaxis and a decrease in medication costs, and there were no differences in any clinical outcomes.
Critical Care MedicineRandomized clinical trial of extended use of a hydrophobic condenser humidifier: 1 vs. 7 days
63 Citations2002L. Thomachot, Marc Léone +4 more
Changing the studied hydrophobic HME after 7 days did not affect efficiency, increase resistance, or altered bacterial colonization, and there was indirect evidence of very little, if any, change in HME resistance.
PubMedClosed suctioning system reduces cross-contamination between bronchial system and gastric juices.
59 Citations2004Werner Rabitsch, Wolfgang J. Köstler +12 more
CS significantly reduced cross-contamination between bronchial system and gastric juices and reduced the incidence of VAP when compared with OS and Hypoxic phases can be reduced by the help of CS.
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