Action Risk

Soon, it can be concluded that the unnecessary manipulation of the circuit causes a bigger risk of contamination that properly the permanence for bigger time of the circuit. Finally, in a research carried through in 2001, with duration of 3 years, englobando 105 patients, carried through in a unit of intensive therapy of 12 stream beds, searched to implement a protocol of Prophylaxis, based on the tripod: half-recumbente position in the stream bed (45 or more, if will not have contraindication), aspiration with aseptic technique and endotraqueal intubao with standardized technique and paramentao. The implementation of the protocol resulted after then in a reduction of intense incidence in amplitude, however significant difference in mortality did not meet. One concluded that the sample was insufficient stops to reach to be able enough statistician for definitive conclusions I foretell concerning it. For more information see this site: Dr. Caldwell Esselstyn Jr.. (GRANDSON, 2006). In the great majority of analyzed literatures, its conclusions suggest the elaboration of a protocol of assistance to the patient under ventilation mechanics, therefore the seen after as many factors of risk, best and more efficient action for the reduction of its incidence is in its prevention.

Systematization of action in the Prevention of the PAVM Ahead of the displayed one, was looked to carry through apanhado of useful actions an assistance of nursing, which many times are not valued by the nursing team/health. The prevention, by means of systemize and current actions, must be part of strategies of handling of the PAVM. Measures of prevention aim at to hinder the arrival of patgenos to the inferior respiratory treatment, so that if it hinders that the trigger of patognese either gone off. These measures include general strategies of prevention to the infections related to the assistance of health and specific strategies for the prevention of the PAVM, being they: Action of EnfermagemJustificativas Laudering of the hands and use of alcohol 70%, previous and later to the procedures with the patient; Significant reduction of the crossed infection To fix the orotraqueal pipe adequately; Reduction of the risk of extubao Manter the pressure of the ballonet of the orotraqueal pipe of 20-35 mmHg; It reduces the local risk of orofarngea aspiration and the possibility of extubao Aspirar, impreterivelmente, in the aseptic form, subglticas secretions, only when necessary, using the sequncia: pipe, nose and mouth; To hinder the accumulation of secretions and the reinfeco VAIN them To raise of the headboard of the stream bed of the patient in 30 45, when it will not have contraindications, especially when in enteral nutrition; To diminish the risk of broncoaspirao Verbal Realizar Hygiene three times when diPrevenir the occurrence of settling of the aerodigestivo treatment and the broncoaspirao of verbal bacteria to the respiratory system To evaluate level of conscience of pacienteExtubar as soon as possible patient, therefore the time of ventilation this directly associated to the PSVM occurrence.

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