Annotated Bibliography: Effect of Bed Elevation on Ventilator-Associated Pneumonia & Pressure Ulcers

Ghezeljeh, T. N., Kalhor, L., Moghadam, O. M., Lahiji, M. N., & Haghani, H. (2017). The Comparison of the Effect of the Head of Bed Elevation to 30 and 45 Degrees on the Incidence of Ventilator-Associated Pneumonia and the Risk for Pressure Ulcers: A Controlled Randomized Clinical Trial. Iranian Red Crescent Medical Journal, 19(7). http://ircmj.com/en/articles/14224.html

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The research done in this article was to compare the impact of elevating the bed of a patient to between thirty and forty-five in the case of ventilation-associated pneumonia (VAP). The research involved 120 participants who were hospitalized in the intensive care unit and were undergoing mechanical ventilation. According to the research, there were significant differences in pressure ulcers observed in terms of ventilation-associated pneumonia, 32.5% in 30 degrees and 20.0% in 45 degrees. The authors recommend tilting the patients' bed to 45 degrees to help in the prevention of VAP. The article outlines the research done in a very organized and legible fashion, by using charts and graphs. It is well done.

Ghezeljeh, T. N., Kalhor, L., Moghadam, O. M., Lahiji, M. N., & Haghani, H. (2017). The Comparison of the Effect of the Head of Bed Elevation to 30 and 45 Degrees on the Incidence of Ventilator-Associated Pneumonia: A Controlled Randomized Clinical Trial. Iranian Red Crescent Medical Journal, 19(7).

The article presents research on how the prevention of ventilator-associated pneumonia (VAP) can decrease the duration of the length of hospital stay, mechanical ventilation, healthcare cost, and mortality. The aim of the study to make a comparison on the head elevation of bed to 30 degrees from 45 degrees on incidences of VAP. The study consisted of 120 patients under the intensive care unit the same duration of time. The researched used grouping method and HOB elevation was measured and recorded using goniometer and the result showed a significant positive change performance for the nursing staff of the 45 degrees elevation than the 30 degrees. The research concludes that the elevation to 45 degrees helped with the prevention of VAP. Overall, it's a nice article with detailed information that I would recommend anyone interested in the topic.

Thomas, G. W., Pennathur, P., Falk, D. M., Myers, J., Ayres, B., & Polgreen, P. M. (2015). How to lapse and slip errors influence head-of-bed angle compliance rates as measured by a portable, wireless data collection system. IIE Transactions on Healthcare Systems Engineering, 5(1), 1-13. https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0037-1603111&sa=D&source=hangouts&ust=1561248682782000&usg=AFQjCNEhvHAPd6YuNL7WtthK_FfNPITeNw

This article is an evidence-based practice on how slip and lapse error influence head of bed angle compliance rate for the prevention of VAP. The research involved a collection of 83,655 samples of beds over a duration of 1579 hours. The research found more than 64.2% incidence of raising the bed angles shown out of compliance measure from patients. The article recommends that there is a need for more investigation on the increasing target angle and getting more feedback the moment, the angle is adjusted. I personally love the article for its in-depth research on the VAP prevention which I would highly recommend for anyone interested in this field.

Bassi, G. L., Xiol, E. A., Pagliara, F., Hua, Y., & Torres, A. (2017, June). Body position and ventilator-associated pneumonia prevention. In Seminars in respiratory and critical care medicine (Vol. 38, No. 03, pp. 371-380). Thieme Medical Publishers.https://www.thieme-connect.com/products/ejournals/html/10.1055/s-00371603111&sa=D&source=hangouts&ust=1561248682782000&usg=AFQjCNEhvHAPd6YuNL7WtthK_FfNPITeNw

The article presents an evidenced-based practice on the body position and ventilator-associated pneumonia prevention. The research demonstrates how to position in supine horizontal position present risk in the development of VAP. The research used 200 patients grouped into two groups on for 30 degrees and 45 degrees. The study found low evidence on the effects of VAP as suspected. The article concludes that balance between harm and benefits remain uncertain because of limited studies. The article recommends more evidence practice on optical body position in the prevention of VAP. The article has relevant information on the topic and I would recommend anyone interested in the topic.