EARLY INTERVENTIONS MANAGEMENT
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.