Subglotična aspiracija in preprečevanje ventilatorske pljučnice

(diplomsko delo)

Teja Mukenauer (Author), Barbara Donik (Mentor)

Abstract

Ventilatorska pljučnica je oblika bolnišnične pljučnice, ki nastane 48 ur ali več po intubaciji ali traheotomiji ter začetku mehanske ventilacije. Zaradi velikega deleža pojavnosti ter smrtnosti je pomembno, da izvajamo intervencije, s katerimi jo preprečujemo. Sem sodi tudi subglotična aspiracija, ki predstavlja odstranjevanje subglotičnih izločkov nad mešičkom tubusa, preden le-ti pridejo v spodnje dihalne poti. Namen diplomskega dela je predstaviti subglotično aspiracijo in preprečevanje ventilatorske pljučnice.V zaključnem delu smo izvedli sistematični pregled znanstvene in strokovne literature na temo subglotične aspiracije in preprečevanja ventilatorske pljučnice. Postopek iskanja in zbiranja literature smo prikazali s pomočjo diagrama PRISMA, rezultate smo sintetizirali s tematsko analizo. Kakovost člankov smo kritično ocenili s pomočjo kontrolnih seznamov JBI.V končno analizo in zaključno delo smo vključili 12 člankov, ki so se nanašali na našo temo. Rezultati so pokazali, da je subglotična aspiracija pomemben ukrep pri preprečevanju ventilatorske pljučnice. Njena uporaba je priporočena v veliko smernicah za delo z intubiranimi pacienti, kaže pa, da je njena uporaba še bolj učinkovita v kombinaciji z ostalimi intervencijami za preprečevanje nastanka ventilatorske pljučnice.

Keywords

ventilatorska pljučnica;intenzivna nega;subglotična aspiracija;

Data

Language:	Slovenian
Year of publishing:	2022
Typology:	2.11 - Undergraduate Thesis
Organization:	UM FZV - Faculty of Health Sciences
Publisher:	[T. Mukenauer]
UDC:	616.24-002:616-083(043.2)
COBISS:	104287491
Views:	273
Downloads:	99
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	Subglottic suction drainage and prevention of ventilator associated pneumonia
Secondary abstract:	Ventilator-Associated pneumonia is a form of hospital-acquired pneumonia that occurs 48 hours or more after intubation or tracheotomy and the beginning of mechanical ventilation. Due to the high incidence and mortality rate, it is important that we carry out interventions that prevent this form happening. This also includes subglottic secretion drainage, which is the removal of subglottic secretions above the cuff of the tube before it passes to the lower respiratory tract. The purpose of this final work is to present subglottic secretion drainage and Ventilator-Associated pneumonia. We performed a systematic review of scientific and professional literature on the topic of subglottic secretion drainage and prevention of ventilatory associated pneumonia. The process of searching and collecting literature was presented using the PRISMA diagram, and the results were synthesized by thematic analysis. The quality of the articles was critically assessed using JBI checklists. We included 12 articles related to our topic in the final analysis and final work. Results show that subglottic secretion drainage is important intervention connected with prevention of Ventilator-Associated Pneumonia. The use of this intervention is recommended in many guidelines for working with intubated patients. It looks like the use of it is even more effective when we combinate subglottic secretion drainage with other interventions for preventing Ventilator-Associated Pneumonia.
Secondary keywords:	ventilator-associated pneumonia;intensive care unit;subglottic secretion drainage;
Type (COBISS):	Bachelor thesis/paper
Thesis comment:	Univ. v Mariboru, Fak. za zdravstvene vede
Pages:	VI, 27 f., 2 f. pril.
ID:	14606637