Ventilator-associated Pneumonia
Conditions
Keywords
bundle, prevention, Disturbance; Heart, Functional, Postoperative, Cardiac Surgery
Brief summary
The objective of the investigators work was to evaluate the impact of 4 sequentially implemented measures for preventing VAP in a major heart surgery ICU. The measures were a specific training program, aspiration of subglottic secretions (ASS), introduction of an inclinometer to improve the semirecumbent position, and reinforcement of oral care with chlorhexidine.
Interventions
OTHERBundle implementation
Sponsors
Ciber de Enfermedades Respiratorias
Fundación Rafael del Pino
Fondo de Investigacion Sanitaria
Maria Jesus Perez
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* all patients with heart surgery admitted in critical care unit during the study period
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change (reduction) in the incidence density of Ventilator associated pneumonia (VAP) | Baseline and up to 35 months | Change (reduction) in the incidence density of VAP |
Secondary
| Measure | Time frame |
|---|---|
| Change(length) in Intensive Care Unit (ICU) stay | Baseline and up to 35 months |
| Change (number of days) in Mechanical Ventilator (MV) per ICU stay | Baseline and up to 35 months |
| Change in mortality rate | Baseline and up to 35 months |
| Change in cost of antimicrobial acquisition during ICU stay | Baseline and up to 35 months |
| Change in compliance with the measures | Baseline and up to 35 months |
Countries
Spain
Outcome results
None listed