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VAP in trauma patients

cathy armstrong cathyarmstrong1 at googlemail.com
Tue May 6 17:44:45 BST 2008


we are not usung those etts, but I am trying toi source an ETT with a small
seperate port above the cuff-pharyngeal port so we can instil
chlorhexidine/alcohol prep, small volumes 2-3 mls. we have started using
oral toilet with the prep and withcombined with  the implementation of vent
care bundle of
1. 35 degreehead up tilt
2. sedation hold daily as tolerated
3.peptic ulcer prophylaxis
4. dvt prophylaxis
seems to give us better stats( of course there are exclusion criteria for
different clinical situations)
c. armstrong

On Mon, May 5, 2008 at 6:50 PM, Schlenker, Anita <
Anita.Schlenker at tenethealth.com> wrote:

> Are any of you using internally coated endotracheal tubes with silver
> sulfadiazine to prevent VAP in your trauma patients?
> Anita Schlenker, RN
> Trauma Program Manager
> Doctors Medical Center - Modesto
> 1441 Florida Ave
> Modesto, CA 95350
> 209-576-3776
>
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