Document Detail

Backrest position in prevention of pressure ulcers and ventilator-associated pneumonia: conflicting recommendations.
MedLine Citation:
PMID:  22819601     Owner:  NLM     Status:  MEDLINE    
Pressure ulcers and ventilator-associated pneumonia (VAP) are both common in acute and critical care settings and are considerable sources of morbidity, mortality, and health care costs. To prevent pressure ulcers, guidelines limit bed backrest elevation to less than 30 degrees, whereas recommendations to reduce VAP include use of backrest elevations of 30 degrees or more. Although a variety of risk factors beyond patient position have been identified for both pressure ulcers and VAP, this article will focus on summarizing the major evidence for each of these apparently conflicting positioning strategies and discuss implications for practice in managing mechanically ventilated patients with risk factors for both pressure ulcers and VAP.
Ruth Srednicki Burk; Mary Jo Grap
Publication Detail:
Type:  Journal Article; Review     Date:  2012-07-21
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  41     ISSN:  1527-3288     ISO Abbreviation:  Heart Lung     Publication Date:    2012 Nov-Dec
Date Detail:
Created Date:  2012-11-05     Completed Date:  2013-05-07     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  United States    
Other Details:
Languages:  eng     Pagination:  536-45     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
School of Nursing, Virginia Commonwealth University, Richmond, Virginia 23294, USA.
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MeSH Terms
Critical Care / methods*
Intensive Care Units*
Patient Positioning / methods*
Pneumonia, Ventilator-Associated / prevention & control*
Pressure Ulcer / prevention & control*
Respiration, Artificial / adverse effects
Risk Factors
Supine Position*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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