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Evidence Based Practice
Question?
P- Critically ill patients with decreased lung compliance who are immobile
Review Literature
Analyze & collect data from available literature
Identify possible barriers at unit level, hospital & nation wide
o Lung injury arising from from different etiologies all having the
same characteristics of
o Bilateral diffuse infiltrates on X-Ray
o Hypoxemia
o Non-cardiogenic pulmonary edema
o Low lung compliance
o PF ratio <100 mmHg (signifies lung compliance and degree of
hypoxemia)
o Specialty beds
o Rotorest, Rotoprone, Progressa beds
o Nutritional support
Hillrom Progressa Beds
600
Jan-16
500 Febuary 2016
Mar-16
400 Apr-16
May-16
300 Jun-16
Jul-16
200
Aug-16
Sep-16
100
Oct-16
0 Nov-16
Total ICU Vent Days Dec-16
Total ICU Ventilators- 2017
700
600
Jan-17
500
Feb-17
400 Mar-17
Apr-17
300 May-17
200 Jun-17
Jul-17
100
0
VAE Criteria
There are three criteria that can be used to meet the PVAP definition:
5
Ouarter 1
4
Ouarter 2
3 Quarter 3
Quarter 4
2
0
VAC IVAC PVAP
Trauma Patients-2017
4
Quarter 1
3 Quarter 2
Quarter 3
2 Quarter 4
0
VAC IVAC PVAP
Medicine Patients-2016
12
10
8
Quarter 1
6 Quarter 2
Quarter 3
4 Quarter 4
0
VAC IVAC PVAP
Medicine Patients-2017
4
Quarter 1
3 Quarter 2
Quarter 3
2 Quarter 4
0
VAC IVAC PVAP
Unit Compliance