Reducing the risk of ventilator-acquired pneumonia through head of bed elevation

Nursing in Critical Care

Volumn 12, Issue 6, 2007, Pages 287-294

  Keeley, Libby ^a  

^a ROYAL SUSSEX COUNTY HOSPITAL   (United Kingdom)

Author keywords

Aspiration pneumonia; Care bundle; Gastric aspiration; Head of bed elevation; Ventilator acquired pneumonia

Indexed keywords

ARTICLE; BED; BODY POSTURE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HUMAN; MALE; MIDDLE AGED; PILOT STUDY; RANDOMIZED CONTROLLED TRIAL; SURVIVAL; VENTILATOR ASSOCIATED PNEUMONIA;

BEDS; FEMALE; HUMANS; MALE; MIDDLE AGED; PILOT PROJECTS; PNEUMONIA, VENTILATOR-ASSOCIATED; POSTURE; SURVIVAL ANALYSIS;

EID: 38449122449     PISSN: 13621017     EISSN: 14785153     Source Type: Journal    
DOI: 10.1111/j.1478-5153.2007.00247.x     Document Type: Article

References (32)

1. American Thoracic Society. (1996). Hospital – acquired pneumonia in adults: diagnosis, assessment, initial therapy, and prevention: a consensus statement. American Journal of Critical Care Medicine; 153: 1711–1725.
2. American Thoracic Society. (2005). Guidelines for the management of adults with hospital-acquired, ventilator-associated and healthcare-associated pneumonia. American Journal of Respiratory and Critical Care Medicine; 171: 388–415.
3. Centre for Disease Control and Prevention. (1997). Guidelines for prevention of nosocomial pneumonia. Morbidity Mortality Weekly Report; 46: 1–79.
4. Collard H, Saint S, Matthay M. (2003). Prevention of ventilator-associated pneumonia: An evidence-based systematic review. Annals of Internal Medicine; 138: 494–501.
5. Cook D, Meadie M, Hand L, McMullin J. (2002). Toward understanding evidence uptake: Semi-recumbancy for pneumonia prevention. Critical Care Medicine; 30: 1472–1477.
6. Cook D, Walter S, Cook R, Griffith L, Guyatt G, Leasa D, Jaeschke R, Brun-Buisson C. (1998). Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients. Annals of Internal Medicine; 129: 433–440.
7. Craven D, Steger K. (1996). Nosocomial pneumonia in mechanically ventilated patients: epidemiology and prevention in 1996. Seminar on Respiratory Infection; 11: 32–53.
8. D’Amico R, Pifferi S, Leonetti C, Torri V, Tinazzi A, Liberati A. (1998). Effectiveness of antibiotic prophylaxis in critically ill patients: systematic review of randomized controlled trials. British Medical Journal; 316: 1275–1285.
9. Drakulovic B, Torres A, Bauer T, Nicolas J, Nogue S, Ferrer M. (1999). Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial. Lancet; 354: 1851–1858.
10. Evans D. (1994). The use of position during critical illness: current practice and review of the literature. Australian Critical Care; 7: 16–21.
11. Ferrer R, Artigas A. (2001). Clinical Review: Non antibiotic strategies for preventing ventilator-associated pneumonia. Critical Care; 6: 45–61.
12. George D, Falk P, Wunderink R, Leeper K. (1998). Epidemiology of ventilator acquired pneumonia based on protected bronchoscopic sampling. American Journal of Respiratory Care Medicine; 158: 1839–1847.
13. Grap M, Cantley M, Munro C, Corley M. (1999). Use of backrest elevation in critical care: a pilot study. American Journal of Critical Care; 8: 475–480.
14. Grap M, Munro C, Bryant S, Achitiani B. (2003). Predictors of backrest elevation in critical care. Intensive and Critical Care Nursing; 19: 68–74.
15. Guyatt G, Sackett D, Sinclair J, Hayward R, Cook D, Cook R. (1995). Users guides to the medical literature. A method for grading health-care recommendations. Journal of the American Medical Association; 274: 1800–1804.
16. Hardy J. (1988). Large volume gastro esophageal reflux: a rationale for risk reduction in the peri-operative period. Canadian Journal of Anaesthesia; 35: 162–173.
17. Hubmayr R. (2002). Statement of the 4th International Consensus Conference in Critical Care on ICU-Acquired Pneumonia (Chicago, Illinois, May 2002). Intensive Care Medicine; 28: 1521–1536.
18. Ibanez J, Penafiel A, Raurich J, Marse P, Jorda R, Mata F. (1992). Gastro esophageal reflux in intubated patients receiving enteral nutrition: effect of supine and semi-recumbent positions. Journal of Parenteral and Enteral Nutrition; 16: 419–422.
19. Ibrahim E, Trecy L, Hill C, Fraser V, Kollef M. (2001). The occurrence of ventilator-associated pneumonia in a community hospital: risk factors and clinical outcomes. Chest; 120: 555–561.
20. Lenth RV. (2006). Java applets for power and sample size [computer software]. http://www.stat.uiowa.edu/~rlenth/Power (accessed 14/04/2007).
21. Lowe D. (1993). Planning for Medical Research. A Practical Guide to Research Methods. Cheshire: Astraglobe Ltd.
22. Michalopoulos A, Geroulanos S. (2003). Ventilator associated pneumonia in critically ill patients: Prevention and treatment. Perspectives in Medical Sciences; 215–222.
23. Mendelli M, Mosconi P, Langer M, Cigada M. (1989). Prevention of pneumonia in an intensive care unit: a randomized multicentre clinical trial. Critical Care Medicine; 17: 501–505.
24. Nathens A, Marshall J. (1999). Selective decontamination of the digestive tract in surgical patients: a systematic review of the evidence. Archives of Surgery; 134: 170–176.
25. Orozco-Levi M, Torres A, Ferrer M, Piera C, El-Ebiary M, de la Bellacasa J, Rodriguez-Roisin R. (1995). Semi-recumbent position protects from pulmonary aspiration but not completely from gastroesophageal reflux in mechanically ventilated patients. American Journal of Respiratory and Critical Care Medicine; 152: 1387–1390.
26. Rello J, Sonora R, Jubert P, Artigus A, Rue M, Valles J. (1996). Pneumonia in intubated patients: role of respiratory airway care. American Journal of Respiratory and Critical Care Medicine; 154: 111–115.
27. Rello J, Paiva J, Baraibar J. (2001). International Conference for the Development of Consensus on the Diagnosis and Treatment of Ventilator Associated Pneumonia. Chest; 120: 955–970.
28. Satiani B, Bonner J, Stone H. (1978). Factors influencing intra-operative gastric regurgitation. A prospective random study of nasogastric tube drainage. Archives of Surgery; 113: 712–723.
29. Sirvent J, Torres A, El-Ebiary M, Castro P, de Battlle J, Bonet A. (1997). Protective effect of intravenously administered cefuroxime against nosocomial pneumonia in patients with structural coma. American Journal of Respiratory and Critical Care Medicine; 155: 1729–1734.
30. Tablan O, Anderson L, Besser R, Bridges C, Haijeh R. (2004). CDC Healthcare Infection Control Practices Advisory Committee. Guidelines for preventing health care-associated pneumonia, 2003: recommendations of CDC and the Health-care Infection Control Practices Advisory Committee. MMWR Recommendations and Reports; 53: 1–36.
31. Torres A, Serra-Batlles J, Ros E, Piera C, Puig de la Bellacasa J, Cobos A, Lomena F, Rodriguezl R. (1992). Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: the effect of body position. Annals of Internal Medicine; 116: 540–543.
32. Van Nieuwenhoven CA, Vandenbroucke-Grauls C, van Tiel FH, Joore HC, van Schijndel RJ, van der Tweel I, Ramsay G, Bonten MJ. (2006). Feasibility and effects of the semire-cumbent position to prevent ventilator associated pneumonia: a randomized study. Critical Care Medicine; 34: 396–402.