Preliminary communication
https://doi.org/10.24141/1/5/1/7
The Influence of Trachea Aspiration on Nosocomial Pneumonia Development
Mirjana Saratlija
orcid.org/0000-0002-3095-6172
; Department of pediatric intensive care, Pediatrics Clinic KBC – Zagreb, Croatia
Abstract
Nosocomial pneumonia is the leading complication in the treatment of children in intensive care units, with significant impact on their mortality and morbidity. It occurs in approximately 8-28 % of mechanically ventilated patients, and the incidence is increased by at least 1-3% per each day of mechanical ventilation. Breath quality and gas exchange depend on the airway passage. The only way to maintain airway passage is timely and effective trachea aspiration. With aspiration, we remove secretion from the airway, increase respiratory function and prevent secondary pneumonia. Aspiration can be carried out by an open and closed system. An open, classic aspiration system is carried out by two nurses. Closed system aspiration is performed by one nurse, the patient is not taken off the respirator and thereby the possibility of the pathogen entering from the outside environment is reduced. Aspiration process with the closed system has several steps that need to be followed for aspiration to be successful. It is necessary to determine the right size of the closed system relative to the size of the tube, to properly measure the distance and to adhere to the set measures and procedures during aspiration.
Keywords
nosocomial pneumonia; mechanical ventilation; trachea aspiration
Hrčak ID:
217998
URI
Publication date:
18.3.2019.
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