The Comparison of the Effect of the Head of Bed Elevation to 30 and 45 Degreess on the Incidence of Ventilator Associated Pneumonia and the Risk for Pressure Ulcers: A Controlled Randomized Clinical Trial

2017 ◽  
Vol 19 (7) ◽  
Author(s):  
Tahereh Najafi Ghezeljeh ◽  
Leila Kalhor ◽  
Omid Moradi Moghadam ◽  
Mohammad Niyakan Lahiji ◽  
Hamid Haghani
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Pressure Ulcers ◽  
Ventilator Associated Pneumonia ◽  
Bed Elevation ◽  
Head Of Bed Elevation

Efficacy of Topical Atorvastatin for the Treatment of Pressure Ulcers: A Randomized Clinical Trial

2013 ◽  
Vol 34 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Shadi Farsaei ◽  
Hossein Khalili ◽  
Effat Sadat Farboud ◽  
Iman Karimzadeh ◽  
Mohammad Taghi Beigmohammadi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Pressure Ulcers

scholarly journals Grafting with Cryopreserved Amniotic Membrane versus Conservative Wound Care in Treatment of Pressure Ulcers: A Randomized Clinical Trial

2017 ◽  
Vol 5 (4) ◽  
pp. 249-258 ◽  
Author(s):  
Mehdi Dehghani ◽  
◽  
Negar Azarpira ◽  
Vahid Mohammad Karimi ◽  
Hamid Mossayebi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Amniotic Membrane ◽  
Pressure Ulcers ◽  
Wound Care

Clinicians’ Perception of Head-of-Bed Elevation

2010 ◽  
Vol 19 (2) ◽  
pp. 164-167 ◽  
Author(s):  
Chad Hiner ◽  
Tomoyo Kasuya ◽  
Christine Cottingham ◽  
JoAnne Whitney
Keyword(s):  
Registered Nurses ◽  
Occupational Therapists ◽  
Simulated Patient ◽  
Ventilator Associated Pneumonia ◽  
Medical Assistants ◽  
Respiratory Therapists ◽  
Bed Elevation ◽  
Correct Angle ◽  
Head Of Bed Elevation

Background Head-of-bed elevation of 30° to 45° is important in preventing ventilator-associated pneumonia, but clinicians’ perception and determination of head-of-bed elevation are not widely reported.Objectives To (1) document the accuracy of clinicians’ perception of head-of-bed elevation, (2) document methods clinicians use to determine the head-of-bed angle, and (3) assess knowledge of recommended head-of-bed elevation.Methods Clinicians (n = 175) viewed a simulated patient with head of bed elevated 30° and elevation gauge concealed. They answered 3 questions: What is the level of the head of the bed? What head-of-bed elevation is associated with decreased incidence of ventilator-associated pneumonia? When providing care, how do you routinely determine the head-of-bed elevation?Results Fifty percent of 89 registered nurses and 53% of 39 physicians identified head-of-bed elevation correctly (±5°). Head-of-bed elevation was perceived accurately by 86% of 21 respiratory therapists, 63% of 16 medical assistants, and 50% of 10 physical/occupational therapists. Ninety-five percent of nurses and respiratory therapists, 79% of physicians, 90% of physical/occupational therapists, and 46% of medical assistants correctly identified the head-of-bed angle associated with decreases in occurrence of ventilator-associated pneumonia. Techniques for determining the angle varied; 58% of respondents reported using the gauge.Conclusions Head-of-bed angle was perceived correctly by 50% to 86% of clinicians. Nurses tended to underestimate the angle, whereas other clinicians tended to overestimate. Nurses, respiratory therapists, and physical/occupational therapists showed the best understanding of the correct angle for minimizing occurrence of ventilator-associated pneumonia. Elevation gauges were most often used to determine the angle.

scholarly journals Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit

2014 ◽  
Vol 23 (3) ◽  
pp. 744-750 ◽  
Author(s):  
Sabrina Guterres da Silva ◽  
Raquel Kuerten de Salles ◽  
Eliane Regina Pereira do Nascimento ◽  
Kátia Cilene Godinho Bertoncello ◽  
Cibele D'Avila Kramer Cavalcanti
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cuff Pressure ◽  
Oral Care ◽  
Ventilator Associated Pneumonia ◽  
Endotracheal Suctioning ◽  
Cross Sectional ◽  
Bed Elevation ◽  
Head Of Bed Elevation ◽  
Expected Compliance

We aimed at evaluating compliance with a bundle to prevent ventilator-associated pneumonia in an Intensive Care Unit. It is a quantitative, descriptive and cross-sectional study, conducted in a public hospital in the state of Santa Catarina. Data were collected in July and August of 2012. The sample consisted of 1,146 observations of the four elements that compose the bundle (head of bed elevation between 30-45°; endotracheal suctioning; cuff pressure between 20-30 cmH2O; and oral care with 0.12% chlorhexidine). Expected compliance was equal to a positivity rate ≥80%. Data analysis revealed overall bundle compliance of 794 (69.2%). When analyzed separately, two practices presented expected compliance (84.7%): oral care and suctioning. Head of bed elevation had the lowest compliance (55.5%), followed by cuff pressure (61.8%). We observed the need for strategies that promote the quality of all the elements that compose the bundle in order for its use to be effective.

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