Detailed Search Results
| Author/Association: | Niedzwiecka T, Patton D, Walsh S, Moore Z, O'Connor T, Nugent L |
| Title: | What are the effects of care bundles on the incidence of ventilator-associated pneumonia in paediatric and neonatal intensive care units? A systematic review [with consumer summary] |
| Source: | Journal for Specialists in Pediatric Nursing 2019 Oct;24(4):e12264 |
| Method: | systematic review |
| Method Score: | This is a systematic review. Systematic reviews are not rated. |
| Consumer Summary: | WHAT IS CURRENTLY KNOWN ABOUT THE TOPIC: Ventilator bundles of evidence-based interventions for prevention of ventilator-associated pneumonia (VAP) are widely used in adult intensive care units. Guidelines and care bundles for prevention of VAP in adult population have been published by the Centers for Disease Control and Prevention (CDC), the Institute for Healthcare Improvement (IHI) and other health organisations. There is a paucity of comprehensive evidence-based guidelines and standardised care bundles for prevention of VAP in critically ill neonates and children receiving mechanical ventilation. WHAT DOES THIS ARTICLE ADD: Implementation of ventilator bundles impacts positively on the incidence of VAP in mechanically ventilated neonates and children in the neonatal intensive care unit and paediatric intensive care unit. However, the variations in the elements of the paediatric ventilator bundles and the insufficiency of valid comprehensive evidence necessitates further research to validate the findings and to ascertain the optimal standardisation of clinical practice. The main components of the paediatric ventilator bundles studied were the head of the bed elevation, daily assessment of readiness to extubate, oral care and peptic ulcer prophylaxis. The main components of the neonatal ventilator bundles studied were the head of the bed elevation, oral care, daily assessment of readiness to extubate, intubation and equipment management. Regular oral care using normal saline, or sterile water or human milk with suctioning of oropharyngeal secretions is recommended for critically ill neonates receiving mechanical ventilation. For infants over 2 months of age, oral care using products containing 0.12% chlorhexidine was included in ventilator bundles. However, it is considered that the use of chloxhexidine, in particular, for mouth care in paediatric patients should be re-examined and reviewed due to insufficient evidence of its effectiveness. |
| Abstract: | Copyright release for this abstract has not been granted. Abstract and full text (sometimes free) may be available at these link(s):  help |
