Evidence map›Paper›PMID 39266269›Full record

ArticleAcute and critical care2024

Specialized nursing intervention on critically ill patient in the prevention of intubation-associated pneumonia: an integrative literature review.

Daniela Fradinho Almeida, Maria do Rosário Pinto, Maria Candida Durao, Helga Rafael Henriques, Joana Ferreira Teixeira

Abstract read
In one paragraph

Article in Acute and critical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Daniela Fradinho AlmeidaCritical Care Department of Unidade Local de Saúde do Hospital de São José and Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR) - Project InfPrev4frica, Lisbon, Portugal.
Maria do Rosário PintoNursing School of Lisbon (ESEL) and Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR) - Project InfPrev4frica, Lisbon, Portugal.
Maria Candida DuraoNursing School of Lisbon (ESEL) and Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR) - Project InfPrev4frica, Lisbon, Portugal.
Helga Rafael HenriquesNursing School of Lisbon (ESEL) and Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Lisbon, Portugal.
Joana Ferreira TeixeiraNursing School of Lisbon (ESEL) and Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR) - Project InfPrev4frica, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare-associated infections are adverse events that affect people in critical condition, especially when hospitalized in an intensive care unit. The most prevalent is intubation-associated pneumonia (IAP), a nursing-care-sensitive area. This review aims to identify and analyze nursing interventions for preventing IAP. An integrative literature review was done using the Medline, CINAHL, Scopus and PubMed databases. After checking the eligibility of the studies and using Rayyan software, ten final documents were obtained for extraction and analysis. The results obtained suggest that the nursing interventions identified for the prevention of IAP are elevating the headboard to 30º; washing the teeth, mouth and mucous membranes with a toothbrush and then instilling chlorohexidine 0.12%-0.2% every 8/8 hr; monitoring the cuff pressure of the endotracheal tube (ETT) between 20-30 mm Hg; daily assessment of the need for sedation and ventilatory weaning and the use of ETT with drainage of subglottic secretions. The multimodal nursing interventions identified enable health gains to be made in preventing or reducing IAP. This area is sensitive to nursing care, positively impacting the patient, family, and organizations. Future research is suggested into the effectiveness of chlorohexidine compared to other oral hygiene products, as well as studies into the mortality rate associated with IAP, with and without ETT for subglottic aspiration.

Indexed as

critically illendotracheal intubationintensive care unitnursingprevention and controlventilator-associated pneumonia

Identifiers

PMID39266269
PMCPMC11392692

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.