Possibilities of modification of risk factors for ventilator-associated pneumonia in cardiac surgery patients

被引：0

作者：

Wroblewska, Marta ^{[1
]}

Stepniak, Agata ^{[2
]}

Burnos, Zbigniew ^{[2
]}

Kania-Pudlo, Marta ^{[3
]}

Leszczynski, Piotr ^{[1
]}

Hendzel, Piotr ^{[2
]}

机构：

[1] Med Acad Warsaw, Chair & Dept Med Microbiol, Lab Nosocomial Infect Epidemiol, PL-02004 Warsaw, Poland

[2] Mil Inst Med, Dept Cardiac Surg, Warsaw, Poland

[3] Mil Inst Med, Sect Hyg & Epidemiol, Warsaw, Poland

来源：

KARDIOCHIRURGIA I TORAKOCHIRURGIA POLSKA-POLISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | 2013年 / 10卷 / 04期

关键词：

intensive care; cardiac surgery; ventilator-associated pneumonia; SUBGLOTTIC SECRETION DRAINAGE; ENDOTRACHEAL-TUBE; NOSOCOMIAL PNEUMONIA; CARE; PREVENTION; CUFF; METAANALYSIS; ASPIRATION; POSITION; IMPACT;

D O I：

10.5114/kitp.2013.39742

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Patients undergoing cardiac surgery require intensive care, the quality of which may significantly reduce the risk of postoperative complications in this patient group. Factors which decrease the risk of ventilator-associated pneumonia (VAP) include care provided to intubated and mechanically ventilated patients, maintenance of a semirecumbent position with elevation of the chest, enteral feeding, prevention of oropharyngeal colonization, and the use of sucralfate instead of H2 receptor antagonists in the prophylaxis of stress ulcers of the stomach. Similarly to other forms of nosocomial infections, the main element of VAP prophylaxis is proper hand hygiene of healthcare workers.

引用

页码：389 / 396

页数：8

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