REDUCE DAYS OF INVASIVE MECHANICAL VENTILATION
|
USE WEANING PROTOCOLS THAT INCLUDE DAILY ASSESSMENT OF SPONTANEOUS
RESPIRATORY CAPACITY.
MINIMIZE THE SEDATION, CONTINUOUS OR INTERMITTENT, AIMING AT SPECIFIC
FINAL TITLATION POINTS OR WITH DAILY INTERRUPTIONS OF CONTINUOUS
SEDATIVE INFUSIONS.
|
REDUCE THE INCIDENCE OF PNEUMONIA ASSOCIATED WITH
VENTILATION
|
PREFER ORAL INTUBATION TO THE NASAL AND PERFORM ORAL HYGIENE
REGULARLY.
KEEP THE PATIENT IN A SEMI RECLINED POSITION (HEAD RISE BETWEEN 30 °
AND 45 °).
USE CLOSED SUCTION SYSTEM; DRAIN PERIODICALLY AND DISPOSE of THE
CONDENSATE IN PIPE.
USE A NEW VENTILATION CIRCUIT FOR EACH PATIENT; PERFORM THE EXCHANGE
WHENEVER IT IS DIRTY OR DAMAGED, BUT NOT ROUTINE.
REPLACE THE HUMIDIFIER AS MALFUNCTIONS, DIRTiness OR EVERY 5-7 DAYS,
FOLLOWING THE MANUFACTURER’S RECOMMENDATIONS AND ACCORDING TO THE
PROTOCOLS DEFINED BY THE HEALTH SERVICE CCIH.
REDUCE THE INVASIVE MECHANICAL VENTILATION TIME.
|
REDUCE INCIDENCE OF VENOUS THROMBOEMBOLISM
|
USE PHARMACOLOGICAL PROPHYLAXIS IN PATIENTS WITHOUT CONTRAINDICATION.
IF CONTRAINDICATIONS ARE USED, USE MECHANICAL PROPHYLAXIS.
|
REDUCE INCIDENCE OF BLOOD INFECTION BY CATHETER
|
ADOPT A SIMPLE CHECKLIST TO REMIND THE DATE OF INSERTING THE CATHETER
AND REMOVING IT WHEN NO MORE NEEDED.
|
MINIMIZE OCCURRENCE OF DECUBLE ULCERS
|
PROMOTE CHANGE OF DECUBBUS EVERY TWO HOURS.
|