Time of elevation of head of bed for patients receiving mechanical ventilation and its related factors

L. Martí-Hereu, A. Arreciado Marañón

Research output: Contribution to journalArticleResearchpeer-review

Abstract

© 2017 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC) Introduction The semirecumbent position is a widespread recommendation for the prevention of pneumonia associated with mechanical ventilation. Aims To identify the time of elevation of head of bed for patients under mechanical ventilation and the factors related to such elevation in an intensive care unit. Materials and methods An observational, descriptive cross-sectional study. Conducted in an intensive care unit of a tertiary hospital from April to June 2015. The studied population were mechanically ventilated patients. Daily hours in which patients remained with the head of the bed elevated (≥30°), socio-demographic data and clinical variables were recorded. Results 261 head elevation measurements were collected. The average daily hours that patients remained at ≥30° was 16h28’ (SD ±5h38’), equivalent to 68.6% (SD ±23.5%) of the day. Factors related to elevations ≥30° for longer were: enteral nutrition, levels of deep sedation, cardiac and neurocritical diagnostics. Factors that hindered the position were: sedation levels for agitation and abdominal pathologies. Sex, age and ventilation mode did not show a significant relationship with bed head elevation. Conclusions Although raising the head of the bed is an easy to perform, economical and measurable preventive measure, its compliance is low due to specific factors specific related o the patient's clinical condition. Using innovations such as continuous measurement of the head position helps to evaluate clinical practice and allows to carry out improvement actions whose impact is beneficial to the patient.
Original languageEnglish
Pages (from-to)169-177
JournalEnfermeria Intensiva
Volume28
DOIs
Publication statusPublished - 1 Oct 2017

Keywords

  • Clinical practice guidelines
  • Intensive Care Units
  • Patient positioning
  • Prevention and control
  • Ventilator-associated pneumonia

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