Saturday 10 September 2016

The Latest Guidelines Concerning VAP Prevention

By John Reed


In the current world most hospitalists find themselves increasingly in ICU either aiming to take over the management of those medical patients or aiming to back up the intensivists. VAP prevention has generated a very huge spark of controversy simply because there is a lot of debate over which the experimental intervention probably works and in which they do not probably work

Micro aspiration of bacteria is viewed as one of major causes of VAP which mostly contains oropharyngeal secretions in lower parts airways of the patient. When this bacterium invades the patients respiratory tract and combines with the weakened immune system of such patients, it thereafter leads to development of VAP. Another possible cause of this disease is the entry of bacterial through the aerosol route into the lower tract of the respiratory system.

During the year 1981, the CDC gave some crucial guidelines which could be used to effectively manage the hospital acquired pneumonia together with some other respiratory infections on the lower parts. These guidelines were arrived at through reviewing of literature extensively. The latest version of these guidelines got published during the year 2004 which involved some numerous methods aiming to decrease the rate at which VAP spreads.

Even with the existence of this particular fact, no randomized trials which have been proved directly on the effectiveness of hand cleaning in controlling the spread of VAP. Most of the professionals in the health sector usually advise that compliance of hand hygiene is basically one of the guidelines that can be well applied in the starting point of controlling VAP.

It is recommendable for physicians to wear the noninvasive mask ventilation when dealing with individuals who are suffering from this kind of illness. Research revealed that a good number of physicians do not actually utilize this strategy in controlling the spread of this disease. These are some of the negligible strategies which can be effectively applied in the management of VAP.

Some other types of procedure which can be effectively applied in the management of this disease are. Semi-recumbent method of patients positioning is basically one of the best methods to apply. Although the literature basically offers great support to the gains which can be reaped by elevating patients heads to about thirty or forty degrees this is another method which is not utilized well.

With the exclusion of some kind of fracture together with post-neurosurgery patients as well as those who suffer hypotension, experts recommend elevating patients heads saying that the practice is very effective and safe as well. This is the main reason as to why they mostly urge physicians to try and use this strategy even if they are doubtful of the actual degree of elevation.

Research has revealed that using CASS is basically an effective method in minimizing incidences of VAP. Some suctions recommendations have been also offered by CDC. You are required to make use of the sterile fluid in clearing of catheter which you are using in suctioning of secretion coming from the lower respiratory parts of the patents.




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