Backrest position in prevention of pressure ulcers and ventilator-associated pneumonia: Conflicting recommendations
Backrest position in prevention of pressure ulcers and ventilator-associated pneumonia: Conflicting recommendations
复制标题
DOI：
10.1016/j.hrtlng.2012.05.008
复制
发表时间：
2012-11-01
期刊：
影响因子：
2.8
通讯作者：
Grap, Mary Jo
中科院分区：
文献类型：
--
作者：
Burk, Ruth Srednicki;Grap, Mary Jo
压疮和呼吸机相关性肺炎（VAP）在急性和重症监护环境中都很常见，并且是发病率、死亡率和卫生保健费用的重要来源。为了防止压疮，指南将床靠背抬高限制在30度以下，而减少VAP的建议包括使用靠背抬高30度或更高。尽管已经确定了压力性溃疡和VAP患者体位之外的各种危险因素，但本文将重点总结这些明显冲突的体位策略的主要证据，并讨论对具有压力性溃疡和VAP危险因素的机械通气患者管理的实践意义。引用本文：Burk， R. S, & Grap， M. j（2012, 11 - 12月）。靠背位置预防压疮和呼吸机相关性肺炎：相互矛盾的建议。心脏与肺，41(6),536-545。http://dx.doi.org/10.1016/j.hrtlng.2012.05.008。
Pressure ulcers and ventilator-associated pneumonia (VAP) are both common in acute and critical care settings and are considerable sources of morbidity, mortality, and health care costs. To prevent pressure ulcers, guidelines limit bed backrest elevation to less than 30 degrees, whereas recommendations to reduce VAP include use of backrest elevations of 30 degrees or more. Although a variety of risk factors beyond patient position have been identified for both pressure ulcers and VAP, this article will focus on summarizing the major evidence for each of these apparently conflicting positioning strategies and discuss implications for practice in managing mechanically ventilated patients with risk factors for both pressure ulcers and VAP.Cite this article: Burk, R. S., & Grap, M. J. (2012, NOVEMBER-DECEMBER). Backrest position in prevention of pressure ulcers and ventilator-associated pneumonia: Conflicting recommendations. Heart & Lung, 41(6), 536-545. http://dx.doi.org/10.1016/j.hrtlng.2012.05.008.