Of mechanical ventilation in the treatment of cluster.docVIP

Of mechanical ventilation in the treatment of cluster [Keywords:] cluster treatment, mechanical ventilation Cluster of the treatment is in accordance with evidence-based medical evidence and guidelines, combined with the actual situation of specific medical units, will be a treatment for a disease the treatment of joint or bundled package, is the framework in the guide will be effective treatment measures to gradually implement the process. in the ICU, mechanical ventilation is a common treatment, but it also increases the patient’s death and the emergence of the risk of complications such as ventilator-associated pneumonia (Ventilator-associatesd pneumonia, VAP, and gastrointestinal tract bleeding. complication of mechanical ventilation patients reduce morbidity and mortality, improve their quality of life, to ensure the safety of patients with mechanical ventilation is essential. 1 Prevention of ventilator-associated pneumonia Ventilator-associated pneumonia (Ventilator-associatesd pneumonia, VAP is by endotracheal intubation or tracheostomy after 48h of mechanical ventilation weaning to extubation occurred within 48h of new infection in the lung parenchyma. Is a hospital-acquired pneumonia (Hospital-acquired pneumonia, HAP common type. Most of the international incidence of VAP reported rate of 0.5% to 1%, ranking the hospital in the West 2 to 4 of infection, ICU the incidence rate of 15% to 20%, of which up to 18 patients receiving mechanical ventilation % to 60%, more than 50% mortality rate. VAP in critically ill patients to ICU length of stay increased by 3 times, and studies have shown that ICU patients with VAP prolonged hospital stay 9.2 days, is more noteworthy is the significant increase in mortality of patients with VAP. So actively prevent the occurrence of VAP was shorter hospital stays, lower medical costs, and ultimately an important means of reducing mortality [1]. 1.1 The non-drug approach [2] 1.1.1 Wash hands with clean gowns