Not-so-trivial pursuit: Mechanical ventilation risk reduction

American Journal of Critical Care

Volumn 18, Issue 4, 2009, Pages 299-309

  Grap, Mary Jo ^a  

^a VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTIFICIAL VENTILATION; HUMAN; MEDICAL RESEARCH; METHODOLOGY; REVIEW; RISK FACTOR; RISK MANAGEMENT; VENTILATOR ASSOCIATED PNEUMONIA;

BIOMEDICAL RESEARCH; HUMANS; PNEUMONIA, VENTILATOR-ASSOCIATED; RESPIRATION, ARTIFICIAL; RISK FACTORS; RISK MANAGEMENT;

EID: 70349562273     PISSN: 10623264     EISSN: None     Source Type: Journal    
DOI: 10.4037/ajcc2009724     Document Type: Article

References (97)

1. Sole ML, Byers JF, Ludy JE, Zhang Y, Banta CM, Brummel K. A multisite survey of suctioning techniques and airway management practices. Am J Crit Care. 2003;12:220-230.
2. Bourgault AM, Brown CA, Hains SM, Parlow JL. Effects of endotracheal tube suctioning on arterial oxygen tension and heart rate variability. Biol Res Nurs. 2006;7:268-278.
3. Kelleher S, Andrews T. An observational study on the opensystem endotracheal suctioning practices of critical care nurses. J Clin Nurs. 2008;17:360-369.
4. Chulay M. Arterial blood gas changes with a hyperinflation and hyperoxygenation suctioning intervention in critically ill patients. Heart Lung. 1988;17:654-661.
5. Chulay M. Hyperinflation/hyperoxygenation to prevent endotracheal suctioning complications. Crit Care Nurs. 1987;7:100-102.
6. Baun MM. Physiological determinants of a clinically successful method of endotracheal suction. West J Nurs Res. 1984;6:213-228.
7. Powaser MM, Converse AL. The relative roles of hyperinflation and oxygen in raising arterial oxygen tension after preoxygenation prior to endotracheal suctioning. Am Rev Respir Dis. 1980;121(suppl):216.
8. Glass C, Grap MJ, Corley MC, Wallace D. Nurses' ability to achieve hyperinflation and hyperoxygenation with a manual resuscitation bag during endotracheal suctioning. Heart Lung. 1993;22:158-165.
9. Corley M, Ledwidge MK, Glass C, Grap MJ. The myth of 100% oxygen delivery through manual resuscitation bags. J Emerg Nurs. 1993;19(1):45-49.
10. Grap MJ, Glass C, Corley M, Creekmore S, Mellott K, Howard C. Effect of level of lung injury on HR, MAP and SaO2 changes during suctioning. Intensive Crit Care Nurs. 1994;10:171-178.
11. Grap MJ, Glass C, Corley M, Parks T. Endotracheal suctioning: ventilator vs manual delivery of hyperoxygenation breaths. Am J Crit Care. 1996;5:192-197.
12. Glass C, Grap MJ, Sessler CN. Endotracheal tube narrowing after closed-system suctioning: prevalence and risk factors. Am J Crit Care. 1999;8:93-100.
13. Fagon JY, Chastre J, Hance AJ, Montravers P, Novara A, Gibert C. Nosocomial pneumonia in ventilated patients: a cohort study evaluating attributable mortality and hospital stay. Am J Med. 1993;94:281-288.
14. Tablan OC, Anderson LJ, Arden NH, Breiman RF, Butler JC, McNeil MM. Guideline for prevention of nosocomial pneumonia. The Hospital Infection Control Practices Advisory Committee. Am J Infect Control. 1994;22:247-292.
15. Dreyfuss D, Djedaini K, Gros I, et al. Mechanical ventilation with heated humidifiers or heat and moisture exchangers: effects on patient colonization and incidence of nosocomial pneumonia. Am J Res Crit Care Med. 1995;151:986-992.
16. Chevret S, Hemmer M, Carlet J, Langer M. Incidence and risk factors of pneumonia acquired in intensive care units: results from a multicenter prospective study on 996 patients. European Cooperative Group on Nosocomial Pneumonia 49. Intensive Care Med. 1993;19:256-264.
17. Alvarez-Lerma F, Palomar M, Martinez-Pellus AE, et al. Etiology and diagnostic techniques in intensive care-acquired pneumonia: a Spanish multi-center study. Clin Intensive Care. 1997;8:164-170.
18. Craven DE, Steger KA, Barber TW. Preventing nosocomial pneumonia: state of the art and perspectives for the 1990s. Am J Med. 1991;91:44S-53S.
19. Leu HS, Kaiser DL, Mori M, Woolson RF, Wenzel RP. Hospital-acquired pneumonia: attributable mortality and morbidity. Am J Epidemiol. 1989;129:1258-1267.
20. Haley RW, Schaberg DR, Crossley K, Von Allmen SD, McGowan JE Jr. Extra charges and prolongation of stay attributable to nosocomial infections: a prospective interhospital comparison. Am J Med. 1981;70:51-58.
21. Kollef MH, Wragge T, Pasque C. Determinants of mortality and multiorgan dysfunction in cardiac surgery patients requiring prolonged mechanical ventilation. J Hosp Infect. 1995;107:1395-1401.
22. Rodriguez JL, Gibbons KJ, Bitzer LG, Dechert RE, Steinberg SM, Flint LM. Pneumonia: incidence, risk factors, and outcome in injured patients. J Trauma. 1991;31:907-912.
23. Jimenez P, Torres A, Rodriguez-Roisin R, et al. Incidence and etiology of pneumonia acquired during mechanical ventilation. Crit Care Med. 1989;17:882-885.
24. Berg DE, Hershow RC, Ramirez CA, Weinstein RA. Control of nosocomial infections in an intensive care unit in Guatemala City. Clin Infect Dis. 1995;21:588-593.
25. Craven DE, Barber TW, Steger KA, Montecalvo MA. Nosocomial pneumonia in the 1990s: update of epidemiology and risk factors. Semin Respir Infect. 1990;5:157-172.
26. Craven DE, Steger KA. Nosocomial pneumonia in mechanically ventilated adult patients: epidemiology and prevention in 1996. Semin Respir Infect. 1996;11:32-53.
27. Kappstein I, Schulgen G, Beyer U, Geiger K, Schumacher M, Daschner FD. Prolongation of hospital stay and extra costs due to ventilator-associated pneumonia in an intensive care unit. Eur J Clin Microbiol Infect Dis. 1992;11:504-508.
28. Huxley EJ, Viroslav J, Gray WR, Pierce AK. Pharyngeal aspiration in normal adults and patients with depressed consciousness. Am J Med. 1978;64:564-568.
29. Valles J, Artigas A, Rello J, et al. Continuous aspiration of subglottic secretions in preventing ventilator-associated pneumonia. Ann Intern Med. 1995;122:179-186.
30. Ibanez J, Penafiel A, Raurich JM, Marse P, Jorda R, Mata F. Gastroesophageal reflux in intubated patients receiving enteral nutrition: effect of supine and semirecumbent positions. JPEN J Parenter Enteral Nutr. 1992;16:419-422.
31. Torres A, Serra-Batlles J, Ros E, et al. Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: the effect of body position. Ann Intern Med. 1992;116: 540-543.
32. Kollef MH. Ventilator-associated pneumonia: a multivariate analysis. JAMA. 1993;270:1965-1970.
33. Drakulovic MB, Torres A, Bauer TT, Nicolas JM, Nogue S, Ferrer M. Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial. Lancet. 1999;354:1851-1858.
34. Evans D. The use of position during critical illness: current practice and review of the literature. Aust Crit Care. 1994;7: 16-21.
35. Grap MJ, Cantley M, Munro C, Corley M. Use of backrest elevation in critical care: a pilot study. Am J Crit Care. 1999; 8:475-480.
36. Grap MJ, Munro CL, Bryant S, Ashtiani B. Predictors of backrest elevation in critical care. Intensive Crit Care Nurs. 2003;19:68-74.
37. Roadmap for safety: National Quality Forum officially releases 30 safe practices for better healthcare. Qual Lett Healthc Lead. 2003;15:12-14, 1.
38. Metheny NA, Clouse RE, Chang YH, Stewart BJ, Oliver DA, Kollef MH. Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: frequency, outcomes, and risk factors. Crit Care Med. 2006;34:1007-1015.
39. Hummel R, Grap MJ, Sessler CN, Munro CL, Corley M. Continuous measurement of backrest elevation in critical care: a research strategy. Crit Care Med. 2000;28:2621-2625.
40. Helman DL Jr, Sherner JH III, Fitzpatrick TM, Callender ME, Shorr AF. Effect of standardized orders and provider education on head-of-bed positioning in mechanically ventilated patients. Crit Care Med. 2003;31:2285-2290.
41. Joiner GA, Salisbury D, Bollin GE. Utilizing quality assurance as a tool for reducing the risk of nosocomial ventilatorassociated pneumonia. Am J Med Qual. 1996;11:100-103.
42. Zack JE, Garrison T, Trovillion E, et al. Effect of an education program aimed at reducing the occurrence of ventilatorassociated pneumonia. Crit Care Med. 2002;30:2407-2412.
43. American Association of Critical-Care Nurses. VAP Practice Alert. http://www.aacn.org/WD/Practice/Content/practicealerts.pcms?menu=Practice&lastmenu=divHeader_Evidence-Based_Resources. Issued January 1, 2008. Accessed April 27, 2009.
44. US Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General-Executive Summary. Rockville, MD: US Department of Health and Human Services; 2000.
45. Fourrier F, Duvivier B, Boutigny H, Rourrel-Delvallez M, Chopin C. Colonization of dental plaque: a source of nosocomial infections in intensive care unit patients. Crit Care Med. 1998;26:301-308.
46. Garrouste OM, Chevret S, Arlet G, et al. Oropharyngeal or gastric colonization and nosocomial pneumonia in adult intensive care unit patients: a prospective study based on genomic DNA analysis. Am J Respir Crit Care Med. 1997;156:1647-1655.
47. Scannapieco FA, Stewart EM, Mylotte JM. Colonization of dental plaque by respiratory pathogens in medical intensive care patients. Crit Care Med. 1992;20:740-745.
48. Cardenosa Cendrero JA, Sole-Violan J, Bordes BA, et al. Role of different routes of tracheal colonization in the development of pneumonia in patients receiving mechanical ventilation. Am J Respir Crit Care Med. 1999;116:462-470.
49. Schwartz SN, Dowling JN, Benkovic C, DeQuittner-Buchanan M, Prostko T, Yee RB. Sources of gram-negative bacilli colonizing the tracheae of intubated patients. J Infect Dis. 1978;138:227-231.
50. Rubenstein JS, Kabat K, Shulman ST, Yogev R. Bacterial and fungal colonization of endotracheal tubes in children: a prospective study. Crit Care Med. 1992;20:1544-1549.
51. Jenkins DA. Oral care in the ICU: an important nursing role. Nurs Stand. 1989;4:24-29.
52. Grap MJ, Munro CL, Ashtiani B, Bryant S. Oral care interventions in critical care: frequency and documentation. Am J Crit Care. 2003;12:113-118.
53. Hanneman SK, Gusick GM. Frequency of oral care and positioning of patients in critical care: a replication study. Am J Crit Care. 2005;14:378-386.
54. El-Solh AA, Pietrantoni C, Bhat A, et al. Colonization of dental plaques: a reservoir of respiratory pathogens for hospital-acquired pneumonia in institutionalized elders. Am J Respir Crit Care Med. 2004;126:1575-1582.
55. Munro CL, Grap MJ, Elswick RK Jr, McKinney J, Sessler CN, Hummel RS III. Oral health status and development of ventilator-associated pneumonia: a descriptive study. Am J Crit Care. 2006;15:453-460.
56. Behbehani A, Abu-Zidan F, Hasaniya N, Merei J. War injuries during the Gulf War: experience of a teaching hospital in Kuwait. Ann R Coll Surg Engl. 1994;76:407-411.
57. Brundage JF, Kohlhase KF, Rubertone MV. Hospitalizations for all causes of US military service members in relation to participation in Operations Joint Endeavor and Joint Guard, Bosnia-Herzegovina, January 1995 to December 1997. Mil Med. 2000;165:505-511.
58. Blood CG, Gauker ED, Jolly R, Pugh WM. Comparisons of casualty presentation and admission rates during various combat operations. Mil Med. 1994;159:457-461.
59. Anderson J, Lester J. Can a patient who has an endotracheal tube and is on mechanical ventilation be given ice chips? Critical Care Nurse. 1999;19(1):95-96.
60. Houston S, Hougland P, Anderson JJ, LaRocco M, Kennedy V, Gentry LO. Effectiveness of 0.12% chlorhexidine gluconate oral rinse in reducing prevalence of nosocomial pneumonia in patients undergoing heart surgery. Am J Crit Care. 2002;11:567-570.
61. DeRiso AJ, Ladowski JS, Dillon TA, Justice JW, Peterson AC. Chlorhexidine gluconate 0.12% oral rinse reduces the incidence of total nosocomial respiratory infection and nonprophylactic systemic antibiotic use in patients undergoing heart surgery. Am J Respir Crit Care Med. 1996;109:1556-1561.
62. Grap MJ, Munro CL, Elswick RK Jr, Sessler CN, Ward KR. Duration of action of a single, early oral application of chlorhexidine on oral microbial flora in mechanically ventilated patients: a pilot study. Heart Lung. 2004;33:83-91.
63. Grap MJ, Munro CL, Elswick RK, Sessler CN, Ward KR, Higgins SM. Early, single chlorhexidine application to reduce oral flora and ventilator-associated pneumonia in trauma victims [abstract]. Am J Crit Care. 2009;18(3):200.
64. Segers P, Speekenbrink RG, Ubbink DT, van Ogtrop ML, de Mol BA. Prevention of nosocomial infection in cardiac surgery by decontamination of the nasopharynx and oropharynx with chlorhexidine gluconate: a randomized controlled trial. JAMA. 2006;296:2460-2466.
65. Munro CL, Grap MJ, McClish D, Sessler CN. Chlorhexidine reduces ventilator associated pneumonia (VAP) in mechanically ventilated ICU adults. Crit Care Med. 2006;34(12, suppl):A1.
66. Sessler CN, Grap MJ, Brophy GM. Multidisciplinary management of sedation and analgesia in critical care. Semin Respir Crit Care Med. 2001;22:211-225.
67. Sessler CN. Comfort and distress in the ICU: scope of the problem. Semin Respir Crit Care Med. 2001;22:111-113.
68. Jacobi J, Fraser GL, Coursin DB, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med. 2002;30:119-141.
69. Blanchard AR. Sedation and analgesia in intensive care: medications attenuate stress response in critical illness. Postgrad Med. 2002;111(2):59-64, 67-70.
70. Tufano R. Analgesia and sedation in intensive care: a progress report. Minerva Anestesiol. 2003;69:735-737.
71. Barr J, Donner A. Optimal intravenous dosing strategies for sedatives and analgesics in the intensive care unit. Crit Care Clin. 1995;11:827-847.
72. Rello J, Diaz E, Roque M, Valles J. Risk factors for developing pneumonia within 48 hours of intubation. Am J Respir Crit Care Med. 1999;159:1742-1746.
73. Boulain T. Unplanned extubations in the adult intensive care unit: a prospective multicenter study. Association des Reanimateurs du Centre-Ouest. Am J Respir Crit Care Med. 1998;157:1131-1137.
74. Esteban A, Alia I, Ibanez J, Benito S, Tobin MJ. Modes of mechanical ventilation and weaning: a national survey of Spanish hospitals. The Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med. 1994;106:1188-1193.
75. Kollef MH, Shapiro SD, Silver P, et al. A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation [see comments]. Crit Care Med. 1997;25:567-574.
76. Ibrahim EH, Kollef MH. Using protocols to improve the outcomes of mechanically ventilated patients: focus on weaning and sedation. Crit Care Clin. 2001;17:989-1001.
77. Ely EW, Baker AM, Dunagan DP, et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med. 1996;335:1864-1869.
78. Cohen IL, Bari N, Strosberg MA, et al. Reduction of duration and cost of mechanical ventilation in an intensive care unit by use of a ventilatory management team. Crit Care Med. 1991;19:1278-1284.
79. Henneman E, Dracup K, Ganz T, Molayeme O, Cooper C. Effect of a collaborative weaning plan on patient outcome in the critical care setting. Crit Care Med. 2001;29:297-303.
80. Kollef MH, Horst HM, Prang L, Brock WA. Reducing the duration of mechanical ventilation: three examples of change in the intensive care unit. New Horiz. 1998;6:52-60.
81. MacIntyre NR, Cook DJ, Ely EW Jr, et al. Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Am J Respir Crit Care Med. 2001;120:375S-395S.
82. Esteban A, Alia I. Clinical management of weaning from mechanical ventilation. Intensive Care Med. 1998;24:999-1008.
83. Ely EW, Bennett PA, Bowton DL, Murphy SM, Florance AM, Haponik EF. Large scale implementation of a respiratory therapist-driven protocol for ventilator weaning. Am J Respir Crit Care Med. 1999;159:439-446.
84. Ely EW, Baker AM, Evans GW, Haponik EF. The prognostic significance of passing a daily screen of weaning parameters. Intensive Care Med. 1999;25:581-587.
85. Riker RR, Fraser GL. Sedation in the intensive care unit: refining the models and defining the questions. Crit Care Med. 2002;30:1661-1663.
86. Nasraway SA Jr, Jacobi J, Murray MJ, Lumb PD. Sedation, analgesia, and neuromuscular blockade of the critically ill adult: revised clinical practice guidelines for 2002. Crit Care Med. 2002;30:117-118.
87. McGaffigan PA. Advancing sedation assessment to promote patient comfort. Crit Care Nurse. 2002;(suppl):29-36.
88. Avramov MN, White PF. Methods for monitoring the level of sedation. Crit Care Clin. 1995;11:803-826.
89. Magarey JM. Sedation of adult critically ill ventilated patients in intensive care units: a national survey. Aust Crit Care. 1997;10:90-93.
90. Murray K. The need for assessment of sedation in the critically ill. Nurs Crit Care. 1997;2:297-302.
91. De Jonghe B, Cook D, Appere-De-Vecchi C, Guyatt G, Meade M, Outin H. Using and understanding sedation scoring systems: a systematic review. Intensive Care Med. 2000;26:275-285.
92. Riker RR, Picard JT, Fraser GL. Prospective evaluation of the Sedation-Agitation Scale for adult critically ill patients. Crit Care Med. 1999;27:1325-1329.
93. Devlin JW, Boleski G, Mlynarek M, et al. Motor Activity Assessment Scale: a valid and reliable sedation scale for use with mechanically ventilated patients in an adult surgical intensive care unit. Crit Care Med. 1999;27:1271-1275.
94. Sessler CN, Gosnell M, Grap MJ, et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med. 2002; 166:1338-1344.
95. Ambuel B, Hamlett KW, Marx CM, Blumer JL. Assessing distress in pediatric intensive care environments: the COMFORT scale. J Pediatr Psychol. 1992;17:95-109.
96. Grap MJ, Borchers CT, Munro CL, Elswick RK, Sessler CN. Actigraphy in the critically ill: correlation with agitation and sedation. Am J Crit Care. 2005;14(1):52-60.
97. Grap MJ, Munro CL, Sessler CN, Wetzel PA, Best AM. The relationships among ICU environment light and sound, hemodynamic stability, agitation and sedation. In: Proceedings of the 20th Anniversary Conference of the Southern Nursing Research Society: Remembering the Past and Celebrating the Future 2006. Wheat Ridge, CO: Southern Nursing Research Society; 2006.