An Investigation of Ventilator Management for Prevention of Ventilator-associated Pneumonia in Emergency Center ICUs in Japan.
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概要
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Suppressing ventilator-associated pneumonia (VAP) is important in managing mechanical ventilation in intensive care. Many preventive measures against VAP have been reported, but, as yet, no preventive guidelines exist for VAP in Japan. We sent questionnaires to 157 emergency centers nationwide to study management of mechanical ventilation. Surveillance, strongly recommended by the Centers for Disease Control and Prevention (CDC), is done at 7.8% of facilities surveyed. The change of ventilator circuits within 48hrs, prohibited by the CDC, is done in 5.4%. Regular dropping of condensate in the circuit to the water trap, recommended by the CDC, is done in only 30.4% of emergency centers. Suctioning sputum with sterile gloves is done in only 49.1% and without gloves in 19.6%. Some Japanese emergency center ICUs do have measures against VAP, but they are inconsistent. Guidelines for VAP prevention such as those of the CDC thus must be implemented as soon as possible in Japan. Introduction of surveillance in the emergency ICU is thought to strengthen evidence for the need for guideline preparation.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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