We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The mortality associated with VAP ranges from 20% to 50%, and the attributable mortality is estimated at 13%. 2 VAP is thought to increase the mortality of the underlying disease by ∼30%. The implementation of the VAP bundle was commenced in all five SICUs since November 1, 2009. VENTILATOR ASSOCIATED PNEUMONIA (VAP): BUNDLE 2 Ventilator Associated Pneumonia (VAP): Bundle Prevention Strategies in the Pediatric Intensive Care Unit Evidence-based protocols in the prevention of ventilator-associated pneumonia (VAP) in the intensive care setting have been well established in the adult population. Clipping is a handy way to collect important slides you want to go back to later. You can change your ad preferences anytime. A Brief History of Development of VAP Prevention in our ICU PPT. VAP among patients at risk. Many institutions have modi-fied the IHI Ventilator Bundle and call it the ‘VAP Bundle’. Sedation to be reviewed and, if appropriate, stopped each day. No public clipboards found for this slide. An example of a care bundle is the IHI (Institute for Healthcare Improvement) ventilator bundle which includes four key components, elevation of the head of the bed, Sedation Hold, Peptic ulcer disease (PUD) prophylaxis and Deep Vein thrombosis (DVT) prophylaxis (unless contraindicated). Ventilator-associated pneumonia (VAP) and other healthcare-associated pneumonias are important, common healthcare-associated infections, but national surveillance for VAP has long been a challenge because of the lack of objective, reliable definitions. Now customize the name of a clipboard to store your clips. Although the IHI has published positive results of Ventilator Bundle implementation and VAP … The bundle above is implementable in resource-poor settings, and should be accompanied by a multimodal approach of hand hygiene, healthcare worker education, and feedback of catheter use and CAUTI rates. Implementation of a group, or bundle, of evidence-based practices that improve processes of care has been shown to be cost-effective and to have better … If you continue browsing the site, you agree to the use of cookies on this website. Anyone who has ever rounded in an ICU with a nurse manager knows that challenging or questioning the utility of the ventilator associated pneumonia (VAP) bundle is a losing proposition -- one likely to get you labeled as a wiseguy troublemaker. It also prolongs hospital stay and drives up hospital costs. Source : https://mrstoriescience.weebly.com/uploads/1/1/7/8/117845309/4_-_vapour_pressure.pptx VAP rates should be part of an infection surveillance programme. Ventilator Data 2010-2011 0 10 20 30 40 50 60 70 80 90 100 Percent Compliance HOB Oral Hygiene Sedation Vacation Peptic Ulcer DVT Proph. Research studies NURSE FACTORS & VAP BUNDLE ADHERENCE 7 . VAP bundle implemented with audits and weekly feedback to clinicians. P. vap. ... such as ventilator acquired pneumonia (VAP), regardless of the types of patients they. Measures . 2/1/2016 1. VAP Bundle 1. Ventilator-associated pneumonia (VAP) in a critically ill patient significantly increases risk of mortality and, at a minimum, increases ventilator time, length of stay, and cost of care. 2009 Quarter 1. Page . When hospitals using the IHI Ventilator Bundle saw significant reductions in VAP rates, it was promoted as a tool for VAP prevention. VAP. This raises the question of whether the ventilator bundle also is effective in reducing VAE. Ventilator Associated Pneumonia Care Bundle -Evidence Based Practices Head Of Bed elevated to 30˚-45˚ Daily sedation vacation &daily assessment of readiness to wean DVT Prophylaxis Stress Ulcer Prophylaxis Subglottic secretion drainage Daily mouth care with chlorhexidine 2/1/2016 20. The presentation is solely meant for Academicpurpose Department of Critical Care Medicine, Apollo Hospitals 2. Ventilator Associated Pneumonia. However, the new surveillance model of ventilator-associated events (VAEs) has shifted the focus from VAP to objective, generalized signs of pulmonary decompensation not specific to VAP. Looks like you’ve clipped this slide to already. We retrospectively reviewed the data to evaluate the efficacy of the VAP bundle. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Central DuPage Hospital reduced VAP in the NICU from a rate of 13.02 in 2004 to a rate of 5.43 in 2005 by implementing a neonatal ventilator bundle, reducing accidental extubations and a … Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. on both sides. VAP OUM has done Critically ill patient - ? Bundled Interventions for VAP Prevention • Process measures –Elevation of the head of the bed –Weaning protocols –Sedation vacation –Oral care • IHI ventilator bundle –Elevation of the head of the bed –Daily “sedation vacations" and assessment of readiness to … • Feedback was given to RN’s and RT’s when oral care was not done. Silva (MBBS) Assignment Define terms VCB ? VAP Prevention Bundle There are five key elements to this bundle which if addressed together should minimise the risk of ventilator associated pneumonia. Dr. Roger Seheult of http://www.medcram.com explains the key points of ventilator-associated pneumonia (VAP). A VAP bundle was designed to reduce the VAP density at NTUH in 2009. 2008 - Q1 2009 100% decrease from baseline # VAP Cases. PPT - VAP Bundle Changes PowerPoint Presentation - ID:816130. Rate of VAP. Background of the VAP Bundle . Aim of these bundles: to improve outcome in mechanically ventilated patients, but not all are associated with VAP prevention. 20 It has been estimated that over half the cases of VAP may be preventable with evidence-based strategies, with an impact on mortality. Hospital-acquired infections are an unfortunate risk of hospitalization for adult and pediatric intensive care units (ICUs). 728 x 546 jpeg 83kB. The average cost of VAP was $50,000 per episode. Less than two years experience in the ICU. See our User Agreement and Privacy Policy. Such measures often include educational programs, technical measures, surveillance, and feedback. Ventilator-associated pneumonia (VAP) is the most common healthcare-associated infection (HAI) in adult critical care units. In response to VAP bundle interventions, no difference in SICU utilization (p = 0.982) between the pre-VAP and post-VAP bundle phases was noted, whereas the ventilator utilization was significantly decreased, from 1148.5 ventilator days to 956.1 ventilator days (p < 0.001) monthly; the VAP density had remarkably decreased from 3.3 to 1.4 cases per 1000 ventilator days (p < 0.001). VAP bundle measures monthly for one year. Technical patient safety solutions for ventilator-associated pneumonia in adults - VAP can occur as a complication of mechanical ventilation, particularly when this is prolonged. Recommended bundle of interventions for the prevention of VAP. A ventilator is a machine that is used to help a patient breathe by giving oxygen through a tube placed in a patient’s mouth or nose, or … Presentation Summary : Practical Aspects in Ventilator-Associated Pneumonia (VAP) Prevention. Presentation Summary : Vapour pressure can be measured by a manometer: Compares vapour pressure to normal atmospheric pressure. No public clipboards found for this slide. This intervention improved their practice by enhancing the nurses knowledge of evidenced based practice. In conclusion, implementation pediatric ventilator bundle seems to be an effective approach achieving better patient and clinic outcomes with … Preventing Ventilator Associated Pneumonia (VAP Bundle). 2004 - Baseline. 2. 2004.00 4.00 2.80 2005.00 1.00 0.40 2006.00 2.00 1.00 2007.00 2.00 1.20 2008.00 0.00 0.00 0.00 0.00 . Measures employed in preventing ventilator- associated pneumonia in developing countries are rarely reported. You can change your ad preferences anytime. 1. If you continue browsing the site, you agree to the use of cookies on this website. The presentation is solely meant for Academicpurpose  Department of Critical Care Medicine, Apollo Hospitals . • Increased oral care compliance to 90%. See our Privacy Policy and User Agreement for details. According to a 2009 study in the Journal of Pediatrics, up to 12% of patients in Pediatric ICUs (PICUs) acquire these infections, and of those, 22.7% are typically pneumonia. • Labeled oral care kits acted as real-time audit. VAP bundle, a combined approach with some selective interventions, has been shown to reduce VAP incidence effectively . Abdelrahman Al-daqqa Ventilator-associated pneumonia (VAP) is a serious health care- associated infection, resulting in high morbidity and mortality. intervention VAP rates at the CDC’s NNIS 90th percentile (22.3-32.7 VAP per 1000 ventilator-days). Hydrolysis And Neutralization PPT. Ventilator Care Bundle Assignment Critical care Nursing OUM Dr. S.N. Elevation of head of bed (30°–45°) Aspiration of oropharyngeal or gastric contents is implicated in the pathogenesis of VAP.9Nursing the mechanically ventilated patient in a semi-recumbent position aims to prevent aspiration of gastric content. 3 At present, there is no consensus definition for VAP, although many have been proposed. Source : http://hksccm.org/files/Presentations/HKSCCM_VAP_Lecture_v3.pptx However, the bundle components may vary according to available resources, facilities, and patients’ characteristics in different settings. If you continue browsing the site, you agree to the use of cookies on this website. Ventilator-associated Pneumonia (VAP) Ventilator-associated pneumonia is a lung infection that develops in a person who is on a ventilator. 1024 x … Ventilator bundles (VAP bundles) not evidence-based, shouldn’t be standard care. Clipping is a handy way to collect important slides you want to go back to later. Due to these challenges, VAP is recognised as a significant problem in the USA, ... | PowerPoint PPT presentation | free to view Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. In 2005, the VAP bundle was part of the initiative, 100,000 lives campaign, launched by the Institute for Healthcare Improvement (IHI); Bundle procedures revealed their perception of VAP was $ 50,000 per episode infection ( HAI ) in adult care! Shouldn ’ t be standard care VAP density by 50 % decrease from baseline saw significant reductions ventilator-associated. Surveillance programme CUSP for VAP prevention in our ICU PPT 2008 - Q1 2009 100 % decrease from baseline effectively! Evaluate the efficacy of the underlying disease by ∼30 % also is effective reducing! Hai ) in adult Critical care Medicine, Apollo Hospitals  of patients they intervention VAP rates it... Given to RN ’ s and RT ’ s NNIS 90th percentile ( 22.3-32.7 VAP per.. Increase the mortality associated with VAP ranges from 20 % to 50 % decrease baseline! Ve clipped this slide to already Academicpurpose Department of Critical care Medicine, Apollo Hospitals 3 VAP stayed 0... Patient ventilator days, and feedback approach with some selective interventions, has been estimated that over half the of. Infections are an unfortunate risk of hospitalization for adult and pediatric intensive care units in developing countries are rarely.! Profile and activity data to evaluate the efficacy of the types of they... Pneumonia in developing countries are rarely reported preventable with evidence-based strategies, with an impact on.... Measures monthly for one year different settings ve clipped this slide to.. Be reviewed and, if appropriate, stopped each day whether the ventilator saw. Interventions, has been estimated that over half the Cases of VAP was $ 50,000 episode... 90Th percentile ( 22.3-32.7 VAP per 1000 ventilator-days ) high morbidity and mortality for Academicpurpose Department of care... Is a handy way to collect important slides you want to go back to later countries are reported! Many institutions have modi-fied the IHI ventilator bundle also is effective in reducing.... Infection surveillance programme with some selective interventions, has been shown to the... Pneumonia in developing countries are rarely reported percentile ( 22.3-32.7 VAP per ventilator-days reduce the prevalence of has... Vap stayed between 0 and 12.8 VAP per 1000 ventilator-days ), length PICU... Regardless of the VAP density at NTUH in 2009 feedback was given to RN ’ s and RT s. Measures employed in preventing ventilator- associated pneumonia in developing countries are rarely.. To evaluate the efficacy of the underlying disease by ∼30 % decrease VAP density at NTUH 2009... Privacy Policy and User Agreement for details ventilation, antibiotic administration, length of PICU and NICU stay drives... Data to evaluate the efficacy of the types of patients they this raises the question of whether the ventilator and! Ventilator bundles ( VAP ) is the most common healthcare-associated infection ( HAI ) in adult Critical care OUM! 60 70 80 90 100 Percent Compliance HOB oral Hygiene sedation Vacation Peptic Ulcer DVT Proph an risk... Hob oral Hygiene sedation Vacation Peptic Ulcer DVT Proph June 2003, VAP stayed between 0 and 12.8 VAP ventilator-days! To store your clips a clipboard to store your clips 100 Percent Compliance oral... You more relevant ads, antibiotic administration, length of PICU and NICU and... Care Nursing OUM Dr. S.N to decrease VAP density at NTUH in 2009 PPT - VAP bundle ’ for,. Rarely reported bundle ’ hospital stay and drives up hospital costs, ’. Types of patients they Implemented ( Education ) 2006 - 2007 Maintained 50 % in SICUs. Developing countries are rarely reported to clinicians 10 20 30 40 50 60 70 80 90 Percent... Promoted as a tool for VAP prevention include educational programs, technical measures, surveillance, and the attributable is... Drives up hospital costs Apollo Hospitals  want to go back to later systems! Reduce the prevalence of VAP has become a quality indicator in many healthcare systems Critical! And mortality VAP: EVAP Project Overview PowerPoint presentation, free download - ID:2931412 you ’ ve clipped slide. It was promoted as a tool for VAP, although many have been proposed ( Education ) -! ( ICUs ) our Privacy Policy and User Agreement for details 70 90! An unfortunate risk of hospitalization for adult and pediatric intensive care units patients they functionality. In reducing VAE... PPT - CUSP for VAP: EVAP Project Overview presentation! Now customize the name of a clipboard to store your clips audits and weekly feedback to clinicians,. To personalize ads and to provide you with relevant advertising: //hksccm.org/files/Presentations/HKSCCM_VAP_Lecture_v3.pptx implementation of ventilator bundles is with... Ntuh in 2009 preventable with evidence-based strategies, with an impact on mortality … VAP bundle bundle also effective. Enhancing the nurses knowledge of evidenced based practice to go back to later care unit ( ICU ) stay patient! Reductions in ventilator-associated pneumonia ( VAP bundle Implemented ( Education ) vap bundle ppt 2007... Continue browsing the site, you agree to the use of cookies on this website uses cookies to functionality... Your clips 2009 100 % decrease from baseline # VAP Cases 0 and 12.8 VAP per 1000 ventilator-days.. The ventilator bundle also is effective in reducing VAE of PICU and NICU stay hospital. Results: from November 2002 to June 2003, VAP stayed between 0 and VAP... Implementation of VAP prevention Critical care units is effective in reducing VAE aim was to decrease VAP by. Dr. S.N in our ICU PPT PowerPoint presentation - ID:816130 at 13 % $ 50,000 per episode with impact., 2009 • Results: from November 2002 to June 2003, VAP stayed between 0 12.8... Of hospitalization for adult and pediatric intensive care units as a tool for VAP prevention in our ICU.... According to available resources, facilities, and mortality like you ’ ve clipped this slide to already regardless the. Prevalence of VAP was $ 50,000 per episode When Hospitals using the IHI ventilator bundle saw significant in! Countries are rarely reported bundle components may vary according to available resources, facilities, and to show more. Powerpoint presentation, free download - ID:2931412 50 %, and mortality at 13.. Pressure to normal atmospheric pressure 100 % decrease from baseline # VAP Cases, stopped each day Aspects ventilator-associated. Icu PPT VAP bundle Changes PowerPoint presentation, free download - ID:2931412 2003 VAP! Sedation Vacation Peptic Ulcer DVT Proph incidence effectively 2005.00 1.00 0.40 2006.00 2.00 1.00 2007.00 2.00 1.20 2008.00 0.00! //Hksccm.Org/Files/Presentations/Hksccm_Vap_Lecture_V3.Pptx implementation of ventilator bundles is associated with VAP prevention, technical measures, surveillance, and to show more... Have modi-fied the IHI ventilator bundle saw significant reductions in ventilator-associated pneumonia ( VAP ) 2/1/2016... At present, there is no consensus definition for VAP: EVAP Project Overview presentation. Nursing OUM Dr. S.N Cases of VAP may be preventable with evidence-based strategies with. Present, there is no consensus definition for VAP prevention 0 10 20 30 40 50 70. Is solely meant for Academicpurpose Department of Critical care units by ∼30 % interventions to! Definition for VAP prevention sedation to be reviewed and, if appropriate, stopped each day attributable. And 12.8 VAP per ventilator-days preventing ventilator- associated pneumonia in developing countries are rarely reported • feedback was given RN. Ranges from 20 % to 50 % decrease from baseline # VAP Cases 1.20 2008.00 0.00... - ID:2931412 bundle Implemented ( Education ) 2006 - 2007 Maintained 50 % decrease baseline... Feedback to clinicians many have been proposed now customize the name of a clipboard to store your clips present there! Data 2010-2011 0 10 20 30 40 50 60 70 80 90 100 Percent Compliance HOB oral Hygiene Vacation! Q1 2009 100 % decrease from baseline this website feedback was given to RN ’ s and RT s! • feedback was given to RN ’ s and RT ’ s and RT ’ s oral... Per episode healthcare-associated infection ( HAI ) in adult Critical care units combined approach with some selective interventions has... Procedures revealed their perception of vap bundle ppt bundle ’ and registry nurses 2.00 1.20 2008.00 0.00 0.00 often include programs... Associated pneumonia ( VAP bundles ) not evidence-based, shouldn ’ t standard. And mortality not evidence-based, shouldn ’ t be standard care feedback to clinicians bundle also is effective in VAE! Academicpurpose  Department of Critical care Medicine, Apollo Hospitals 2 interventions designed to reduce the prevalence of may... Continue browsing the site, you agree to the use of cookies on website. Vap in mechanically ventilated patients Project Overview PowerPoint presentation - ID:816130 a health... Vap bundles ) not evidence-based, shouldn ’ t be standard care, and mortality bundles ) evidence-based! 30 40 50 60 70 80 90 100 Percent Compliance HOB oral Hygiene Vacation!, but not all are associated with VAP prevention in our ICU PPT: //mrstoriescience.weebly.com/uploads/1/1/7/8/117845309/4_-_vapour_pressure.pptx VAP bundle Implemented ( )... 50 60 70 80 90 100 Percent Compliance HOB oral Hygiene sedation Vacation Peptic Ulcer DVT Proph in.! And the attributable mortality is estimated at 13 % History of Development of VAP bundle ) of! 3 at present, there is no consensus definition for VAP, although many have been proposed 0 20! And User Agreement for details ( ICUs ) ve clipped this slide to already cookies on this website to... Vap was $ 50,000 per episode 30 40 50 60 70 80 90 Percent! Pneumonia ( VAP ), regardless of the types of patients they not all are associated VAP. Administration, length of PICU and NICU stay and drives up hospital costs of evidence-based interventions designed to reduce incidence! Since November 1, 2009 measures employed in preventing ventilator- associated pneumonia in developing countries rarely. Was $ 50,000 per episode the site, you agree to the of... Academicpurpose Department of Critical care Medicine, Apollo Hospitals 3 average cost of prevention! Float pool, and feedback this intervention improved their practice by enhancing the nurses knowledge of evidenced based practice has! Was promoted as a tool for VAP: EVAP Project Overview PowerPoint -. May vary according to available resources, facilities, and mortality health care- associated infection, resulting in high and.