Annotated Bibliography

aAnnotated Bibliography
Bouadma, L., Deslandes, E., Lolom, I., Le Corre, B., Mourvillier, B., Regnier, B., Porcher, R.,
Wolff, M., & Lucet, J-C. (2010). Long-term impact of a multifaceted prevention program on ventilator-associated pneumonia in a medical intensive care unit. Oxford Journals of Medicine. Clinical Infectious Diseases. Vol. 51. Iss. 10. p. 1115-1122.

Christensen, R., Henry, E., Baer, V., Hoang, N., Snow, G., Rigby, G., & Eggert, L. (2010). A low-sodium solution for airway care: Results of a multicenter trial. Respiratory Care, 55(12), 1680-1685.

In this article, a qualitative research method is used to analyze and discusses the use of a new test solution that is lower in chloride and sodium to lower the incidence of VAP and chronic lung
disease. VAP suctioning techniques normally require the use of saline solution and the solution itself has higher contents of sodium and chloride which kills the normal antimicrobial flora within the respiratory tract. The study took place in 4 large NICU’s within in a 40 mile radius of Salt Lake City, Utah. The findings of the study found the new test solution dramatically decreased the incidence of chronic lung disease, VAP, and the time of ventilator use per patient. The article provides ideas of better ways to prevent VAP other than the standard sterile precautions.

Garnacho-Montero, J., Ortiz-Leyba, C., & Jiménez-Jiménez, J. (2003, May). Treatment of multidrug-resistant acinetobacter baumannii ventilator-associated pneumonia (VAP) with Intravenous Colistin: A comparison with imipenem-susceptible VAP. Clinical Infectious Disease, 36(9), 1111-1118. Retrieved from http://www.jstor.org/stable/4483455

The authors of the article discuss ventilator-associated pneumonia (VAP) is a common complication that occurs in the critical care setting and VAP increases the risk of death in critically ill patients. A quantitative research study was performed using criteria such as patient’s temperature, white blood cell count, amount of bronchial secretions, and microbiology of the secretions to test the outcomes of treating multidrug- resistant VAP with intravenous colistin.

Ross, A., & Crumpler, J.
(2007, June). The impact of an evidence-based practice education program on the role of oral care in the prevention of ventilator-associated pneumonia. Intensive and Critical Care Nursing, 23(3), 132-136. doi:http://dx.doi.org.ezproxy.apollolibrary.com/10.1016/j.iccn.2006.11.006

Sedwick, M. B., Lance-Smith, M., Reeder, S. J., & Nardi, J. (2012). Using evidence-based practice to prevent ventilator-associated pneumonia. American Association of Critical-Care Nurses. 32(4), 41-50, doi: http://dx.doi.org/10.4037/ccn2012964.

The article discusses a research study on initiating interventions called a bundle practices concept to decrease ventilator-acquired pneumonia (VAP). The bundle concept includes interventions of increased mouth care to every two hours may decrease VAP and adding alarms to bed to alert nurses if the head of bed is below 30 degrees. The objective of the study was to develop a ventilator bundle and care practices for prevention and reduce the rates of VAP. It was developed by the Institute for Healthcare Improvement and the results found that critical-care nurses adherence to the bundle practices improved patient outcomes and reduced
costs.