Evaluation of ventilator associated events in critically ill patients with invasive mechanical ventilation: A prospective cohort study at a resource limited setting in Northern India

Patnaik, Rupali; Misra, Richa; Azim, Afzal; Harsvardhan, Rajesh; Gurjar, Mohan; Baronia, Arvind Kumar; Poddar, Banani

doi:10.1016/j.jcrc.2021.03.001

Cited by 5 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The ventilator bundle aims to prevent aspiration, decrease colonization in the upper respiratory tract and decrease the length of mechanical ventilation [ 17 ]. That is why it was associated with the decrease of both IVAC and PVAP, but VAC has multifactorial non-infectious risk factors that cannot be controlled by only ventilator bundle [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between ventilator bundle compliance and the occurrence of ventilator-associated events: a prospective cohort study

Hassan

Elsaman

2022

BMC Nurs

View full text Add to dashboard Cite

Background Instead of ventilator-associated pneumonia (VAP), the modern definition of ventilator-associated events (VAEs) has been introduced to identify infectious and noninfectious respiratory complications. Some studies revealed that compliance to the ventilator bundle is associated with decreased occurrence of VAP, but little is known about its association with the decrease of VAEs occurrence. Methods A prospective cohort research design was used. Data were collected over eight months from May 2019 to February 2020 in five general intensive care units. The researchers assessed the compliance to ventilator care bundle using the Institute for Healthcare Improvement ventilation bundle checklist. Mechanically ventilated patients were prospectively assessed for the occurrence of VAEs using a pre-validated calculator from the Centers for Disease Control and Prevention. All are non-invasive tools and no intervention was done by the authors. Results A total of 141 mechanically ventilated patients completed the study. The odds ratio of having VAEs in patients who received ventilator bundle was -1.19 (95% CI, -2.01 to -0.38), a statistically significant effect, Wald χ2(1) = 8.18, p = 0.004. Conclusion/ implications for practice Ventilator bundle compliance was associated with a reduced risk for VAEs occurrence. Nurses should comply with the ventilator bundle because it is associated with decreased VAEs occurrence.

show abstract

Section: Discussionmentioning

confidence: 99%

Relationship between ventilator bundle compliance and the occurrence of ventilator-associated events: a prospective cohort study

Hassan

Elsaman

2022

BMC Nurs

View full text Add to dashboard Cite

show abstract

“…The incidence of VAP has taken a forward step in the recent past. 1,2 In the days of antibiotic resistance, with the increase in multidrug-resistant and pan-drug-resistant organisms, VAP will have a deleterious impact on patient outcome, which increases intensive care unit (ICU) stay and the overall health care cost burden. The incidence of VAP was reported to be 9 to 18.3 VAP episodes per 1000 ventilator days as per EU-VAP/CAP was a prospective observational survey conducted in 27 ICUS from nine European Countries.…”

mentioning

confidence: 99%

“…Ventilator-associated pneumonia (VAP) is a sequential and preventable complication in mechanically ventilated patients. The incidence of VAP has taken a forward step in the recent past 1,2 . In the days of antibiotic resistance, with the increase in multidrug-resistant and pan-drug-resistant organisms, VAP will have a deleterious impact on patient outcome, which increases intensive care unit (ICU) stay and the overall health care cost burden.…”

mentioning

confidence: 99%

Teaching Bundle Care Approach to Intensive Care Nurses to Prevent Ventilator Associated Pneumonia with a Stratified Validated Module

Tatikonda,

Prasad,

Rout

et al. 2023

Dimens Crit Care Nurs

View full text Add to dashboard Cite

Background Module-based teaching of ventilator-associated pneumonia (VAP) with a systematic, stratified approach is expected to have a promising role in teaching. We hypothesized it to improve the skill and knowledge of intensive care unit nurses. Objectives The aim of this study was to determine the efficacy of the teaching module with debriefing sessions on the VAP bundle care approach, and the secondary objective was to estimate the improvement in individual components of the VAP bundle. Methods A total of 200 paramedical staff were exposed to a teaching module consisting of pretest didactic lectures, debriefing sessions, reflection by participants, and feedback. Posttest analysis was done to assess knowledge. Skill assessment was done with directly observed procedural skills (DOPS) assessment, and feedback was taken from participants. Follow-up was done at 6 months to assess decay in knowledge and skills. Results Preworkshop and postworkshop DOPS scores were analyzed using the Mann-Whitney U test. Subgroup analysis was performed using the paired t test. Median pretest and posttest scores were 6 (interquartile range, 4-8) and 13 (interquartile range, 11-15), respectively (P < .001). Comparing DOPS scores before and after exposure to the teaching module, the number of subjects with scores that were below expectations was 24 and 4; meeting expectations was 94 and 24; borderline expectations were 36 and 104; and above expectations was 46 and 58, respectively, between the groups (P < .001). A decay in knowledge and skills was noted in the follow-up. Conclusion A validated teaching module with debriefing sessions is useful in training bundle care approaches to intensive care unit nurses.

show abstract

Intelligent alert system for predicting invasive mechanical ventilation needs via noninvasive parameters: employing an integrated machine learning method with integration of multicenter databases

Zhang,

Xie,

Wang

et al. 2024

Med Biol Eng Comput

View full text Add to dashboard Cite

Evaluation of ventilator associated events in critically ill patients with invasive mechanical ventilation: A prospective cohort study at a resource limited setting in Northern India

Cited by 5 publications

References 18 publications

Relationship between ventilator bundle compliance and the occurrence of ventilator-associated events: a prospective cohort study

Relationship between ventilator bundle compliance and the occurrence of ventilator-associated events: a prospective cohort study

Teaching Bundle Care Approach to Intensive Care Nurses to Prevent Ventilator Associated Pneumonia with a Stratified Validated Module

Intelligent alert system for predicting invasive mechanical ventilation needs via noninvasive parameters: employing an integrated machine learning method with integration of multicenter databases

Contact Info

Product

Resources

About