6-Part Bundle to Prevent Ventilator-Associated Pneumonia in Children

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Using a bundled protocol for caring for infants and children with mechanical ventilation may prevent ventilator-associated pneumonia, according to a study in Critical Care Nurse.

The authors propose a VAP prevention bundle for infants and children receiving mechanical ventilation. The bundle includes the following nursing interventions:


•    Elevate the head of the bed 35 to 40 degrees.
•    Perform hand hygiene before and after contact with the patient or the ventilator.
•    Provide oral care according to the patient's age.
•    Change ventilator circuit every seven days or when circuit is visibly soiled or malfunctioning.
•    Suction endotracheal tube only when indicated by a clinical examination; do not instill physiological saline for suctioning.
•    Drain condensation from ventilator circuit every two to four hours and before repositioning the patient.

More Articles on VAP:

8 Hospitals Receive HHS Award for Eliminating Infections
Patient Safety Tool: Ventilator-Associated Pneumonia Prevention Guide

3 Benefits of CDC's New Ventilator-Associated Pneumonia Framework

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