Preview

Ventilator Associated Pneumonia Case Study Essay

Good Essays
Open Document
Open Document
594 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Ventilator Associated Pneumonia Case Study Essay
A case study on the effect of oropharyngeal secretion and subglottic suctioning in prevention of ventilator associated pneumonia (VAP).
The purpose of this case study is to analyze the significance of subglottic suction in prevention of ventilator associated pneumonia .The case study is linked to the competency no1(Respiratory). This study aims to assess the evidence available to prove the need of frequent subglottic suction of oropharyngeal secretion to prevent VAP in mechanically ventilated patients.
Mr. M was admitted to Intensive care Unit with multiple traumas to the head, face and lower limbs. The management consisted neurological for severe head injury, maxillofacial for facial injuries, orthopedics for fractured lower limbs. Mr. M was mechanically ventilated and given sedations and analgesics to facilitate the care.
Hinds and Watts (2008) define VAP as a nosocomial infection which arises between 48 hours and 72 hours in patients requiring mechanical ventilation for more than 48 hours. They suggest that this is because of the aspiration of secretions during Intubation and VAP occurring after 72 hours is mostly as the consequence of aspiration of infected secretion from the airway. VAP prolongs intensive care stay and increased risk of other complications associated with it. Lou sole M et al (2011) published a study about the
…show more content…
Mr. M was facilitated with subglottic suction and reintubation with improvised type of endotracheal tube increased the accessibility. Our unit developed a protocol for prevention of VAP and subglottic suctioning every four hours is the main component of the

You May Also Find These Documents Helpful

  • Good Essays

    After a series of investigation in the emergency department, Mr. Jones was commenced on Normal Saline at 125 mls/hr and he was given oxygen via non rebreather mask at 10L/min. He was then transferred to the intensive care unit for respiratory and circulatory support and a provisional diagnosis of sepsis due to a respiratory source.…

    • 2274 Words
    • 10 Pages
    Good Essays
  • Good Essays

    Ati Questions

    • 527 Words
    • 3 Pages

    2. Which of the following nursing interventions should be implemented to maintain a patent airway in a client on bed rest?…

    • 527 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Influenza A: A Case Study

    • 528 Words
    • 3 Pages

    Detection of Influenza A in BALF and the detection of Staphylococcus aureus in blood cultures and tracheal secretions could be seen. Due to the severe Acute respiratory distress syndrome (ARDS), a slowly reduction of the ventilation parameters of the Extracorporeal membranous oxygen (ECMO) therapy could be possible. With continuous stabilization of the clinical situation and echocardiographically continuous improvement of the cardiac function a VA-ECMO weaning was done without any complications. Due to the initial severe ARDS followed by the persistent high ventilation parameters and oxygen demand in the clinical course, we switched to a VV-ECMO. Accompanying of a percutaneous dilated tracheostomy during the ventilation weaning was…

    • 528 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    The patient should inhale the medication rapidly. Otherwise the dry particles will stick to the…

    • 6164 Words
    • 29 Pages
    Satisfactory Essays
  • Better Essays

    Since the patient has become unresponsive the nurse should begin with a neurological assessment by checking pupils for reaction and using a blunt needle on the extremities to insure a response from both the autonomic and peripheral nervous system. The respiratory and cardiovascular system can be assessed with the use of a stethoscope by listening to lung and heart sounds, as well as, checking peripheral pulses, capillary refill time, and checking for any discoloration of the skin especially around the mouth and extremities. To conclude the assessment of the integumentary system the nurse should check for any abrasions, bruising, or wounds sustained by the patient during the fall the patient reported. The nurse can continue to assess the patient’s pain level by looking for key expressions that would indicate the patient is in pain such as furrowing brow, flared nostrils, grimacing, or restlessness at the point of at which external pain factors are used to determine responsiveness of the patient such as a sterna rub or pinching of the knuckles. The scenario indicates that the patient has begun to have increased difficulty with breathing at…

    • 1422 Words
    • 6 Pages
    Better Essays
  • Good Essays

    In the healthcare setting many clinicians are curious to know how airway pressure release ventilation (APRV) works. Many modes of ventilation have been developed throughout the years that focus on lung recruitment and allows for patients to breathe at a spontaneous rate. However, APRV is one of the many modes that concentrate on providing partial ventilatory assistance to patients with some form of respiratory failure. First, can APRV protect the lungs and reduce the work of breathing? Second, is APRV an effective mode of ventilation for patients that suffer from decreased lung compliance? These are just some of the questions physicians ask themselves when determining a method to ventilate their patients.…

    • 863 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Essay On Pneumothorax

    • 468 Words
    • 2 Pages

    Patients with a small PSP without breathlessness may be discharged with early outpatient review along with clear written advice to return in the event of worsening breathlessness. Tension pneumothorax and in larger pneumothorax, or when there are marked symptoms, urgent needle decompression followed by a chest tube connected to a one-way valve system is required. Needle decompression be required before transport to the hospital, and can be performed by an emergency medical technician or other trained professional. The needle or cannula is left in place until a chest tube can be inserted. Occasionally, surgical intervention involving pleurodesis or pleurectomy is required when tube drainage is unsuccessful, or as a preventive measure, in case of repeated…

    • 468 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Pneumonia is an infection in one’s lungs and can be caused by bacteria, viruses, and, in rare cases, fungi. In this case, this pneumonia is caused by the rhinovirus, which is also known as Enterovirus Human rhinovirus C. Human rhinoviruses (HRVs) are known to commonly cause upper respiratory infections (URIs). The reasons why I am led to believe that this is the result is because in some cases a URI, if not treated, can lead to pneumonia. Sore throat and nasal dryness are some of the first common initial symptoms of a rhinovirus (RV) infection. The patient’s symptoms began with a sore throat and a dry cough. With the most recent symptoms, the doctor decides to perform a physical examination, which reveals a mild fever, slight…

    • 801 Words
    • 4 Pages
    Good Essays
  • Good Essays

    The role of the infection control team is to decrease the incidence of preventing ventilator-associated pneumonia (VAP), which includes policy, surveillance data, risk assessment, and infection prevention interventions. The CEO must explain the active involvement of all health care professionals in preventing ventilator-associated pneumonia (VAP) as well as the past data and outcomes of cases of ventilator-associated pneumonia (VAP), furthermore ensuring that all patients will be under the care of all evidence-based recommendations.…

    • 766 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Respiratory Ards

    • 453 Words
    • 2 Pages

    Alveolar flooding and atelectasis procedure uneven pathological changes in the lung and areas of perfusion without ventilation (shunt).…

    • 453 Words
    • 2 Pages
    Good Essays
  • Good Essays

    When a patient cannot control their airway, or cannot perform the act of respiration without assistance, the need for endotracheal intubation may arise. The practice of endotracheal intubation has been shown to provide a safe and patent airway, which can be mechanically ventilated when necessary. The use of an endotracheal tube also protects the patient by preventing aspiration when used correctly, and provides an extra rout for medication administration. The use of endotracheal tubes is very common, and provides many advantages in patient care. Tracheal tubes are not without fault though as unwanted side effects can occur. In more severe circumstances injury or exacerbation of the patient’s condition can also occur.…

    • 960 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Hygienist Essay

    • 2283 Words
    • 10 Pages

    From pediatric patients to geriatric patients, respiratory diseases and disorders can affect a variety of patients. Many of which cause lower respiratory rates and drug interactions that can compromise routine dental treatment and even elicit medical emergencies. A hygienist should not only have the knowledge to treat a respiratory emergency but also how to prevent one. Respiratory diseases can be divided into upper and lower respiratory diseases, some requiring more precautions than others. It is important to know the general characteristics of both types and the problems they present to receiving dental treatment. This paper is indicated to discuss the identification, precaution, and treatment of patients with respiratory diseases most commonly seen in a dental setting.…

    • 2283 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    Annotated Bibliography

    • 478 Words
    • 2 Pages

    program on the role of oral care in the prevention of ventilator-associated pneumonia. Intensive and Critical Care Nursing, 23(3), 132-136. doi:http://dx.doi.org.ezproxy.apollolibrary.com/10.1016/j.iccn.2006.11.006…

    • 478 Words
    • 2 Pages
    Good Essays
  • Best Essays

    Copd Exacerbation

    • 2973 Words
    • 12 Pages

    Ignatavicius, D. & Workman, M. L. (2010), Care of Patients with Noninfectious Lower Respiratory Problems. Medical-Surgical Nursing, 6th Edition, (pp. 621-637). St. Louis, Missouri:Saunders Elsevier.…

    • 2973 Words
    • 12 Pages
    Best Essays
  • Powerful Essays

    Alternating Mask

    • 1888 Words
    • 8 Pages

    Noninvasive ventilation is a much needed option for patients in the critical care setting, but prolonged use and multiple comorbidities can lead to pressure of the face and head. Alternating the nasal/oral mask with the full face mask could help decrease the risk of skin breakdown or lessen the severity of wounds that do develop. “A full facial mask has the potential for greater redistribution of pressure because it covers the forehead and a larger area of the cheek/side of face than other masks.” (Schallom et al., 2015, p. 350)…

    • 1888 Words
    • 8 Pages
    Powerful Essays