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Ventilator-associated pneumonia prevention and care

After sterilization drug use. 2.4 strengthen the airway management (1) to prevent aspiration: aspiration can be external, the Ministry of oral bacteria in the lungs caused by infection with the human, it has taken half of mechanically ventilated patients supine and in a timely manner to prevent accidental removal of oral secretions suction; (2) to maintain airway patency: promptly correct and effective suction, usually 1 ~ 2h deep suction time, as the deep exhaust sputum. Suction in the 15s each time within the control. Too viscous sputum aspiration is not easy,[link widoczny dla zalogowanych], you can breath in the whole story to the airway in patients with sterile saline or mucus into the liquid 2 ~ 5ml,[link widoczny dla zalogowanych], 2 or 3 times until after ventilation suction. For subglottic tracheal tube removal by air shock method cited, the effect is better. (3) Note airway humidification: 24h continuous wet fluid is about 150 ~ 250ml, spray regularly, 2 to 4 times a day, each time 10 ~ 15min. (4) airway treatment: the permeability of the airway strong medication, antibiotics and respiratory mucosa in direct contact with the airway is not diluted by systemic circulation, high local drug concentration, so the local administration to control the lung infection is very important airway . Selection and preparation of drugs can be selected according to patient's condition sensitive to antibiotics. Method of administration of antibiotics available irrigation solution directly to the airway, airway, and inhalation drug delivery, etc. Dropping. Can be wet endotracheal airway lavage, mucus, P. aeruginosa infection after treatment can be reduced to 14.3%, obviously. The patient has been infected, acute airway administration for sustained speed of 4 to 6 drops per minute. Recovery for the administration of intermittent airway, tracheal drops every 30min, who 2ml,[link widoczny dla zalogowanych], 24h total lOOml. To prevent infection after tracheotomy, according to drug use and drug sensitivity tests of tracheal tube pad. Tracheal incision with gentamicin gauze, wound infection rate decreased significantly, and gentamicin gauze Vaseline gauze to avoid the shortcomings of poor ventilation. * 50.2 .5 to strengthen the management of medical staff to improve awareness of infection control medical staff medical personnel should have a strong sense of responsibility, one room should be changing his shoes, wearing masks, hats,[link widoczny dla zalogowanych], a special uniform and change daily. Aseptic principles and strict implementation of disinfection and isolation system, before and after each operation, strict hand-washing, hand washing with disinfectant when necessary or wear disposable gloves to prevent cross infection. Proper understanding of endotracheal intubation and suction technology, action to light,[link widoczny dla zalogowanych], steady, accurate, fast, to avoid the frequent rough suction, to reduce damage to the respiratory tract mucous membrane and cilia. Attractive when the oral airway suction pipe must be used separately to attract airway secretions, suction tube applied forceps extraction, used to attract to attract each tube, and then disinfect with a solution subject to the bowl, so that one person one time sterilized . 2.6 The rational use of antibiotics according to drug susceptibility testing and effective use of antibiotics, the overuse of antibiotics to prevent blindness.
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