ICU医院感染控制进展-胡必杰幻灯片.pptVIP

32 VAP预防措施的证据 预防与胃管给食有关的吸入如果无反指征， 将头部的床摇高形成30～45度角（IB） ? 仰卧位与半卧位 VAP发病率 – 仰卧 23％ – 半卧 5％ –Lancet 1999; 354:1851-58 2008-10-3 Dr.HU Bijie 33 2008-10-3 online 26 Meta-analysis of RCT investigating the relationship between ventilator-circuit-change frequency and the risk of VAP 呼吸机回路管道更换 systematic review and meta-analysis pneumonia in mechanically ventilated adults: Oral decontamination for prevention of 2007;334;889-; originally publishedDr.HU Bijie Mar 2007; BMJ 34 VAP预防措施方面新的证据与进展 ? 使用气囊上方