First Advisor

Jackson, Alma

Thesis Committee Member(s)

McCallum, Colleen

Reader

McCallum, Colleen & Finn, Cris

College

Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice

School

Loretto Heights School of Nursing

Document Type

Thesis - Open Access

Number of Pages

78 pages

Abstract

Ventilator associated pneumonia (VAP), a major source of infection in Intensive Care Unit (ICU) that leads to higher mortality and cost. The PICO format is: Population: Adults with endotracheal tube (ETT) intubations during ICU stay. Intervention: The © Kimberly Clark High Volume Low Pressure Micro Cuffed (KC) ETT for adults intubated in ICU. Comparison: The High Volume Low Pressure ETT ©Mallinckrodt (MK). Outcome: Reduce VAP incidence and improve patient outcomes. Do ICU adults intubated with KC ETTs have fewer VAPs than those intubated with the MK? VAP starts with pathogen's (Craven, 2006). Deem and Treggiari (2010) believes the ETT does impacts this pneumonia. Spiegel (2010) feels the newer cuffed ETTs seals the trachea, reducing aspirations, and that reduces VAP. Did the KC ETT decrease VAP incidence, compared to the MK? The main objectives are to determine if there are decreased VAPs with the KC ETT compared to the MK. Did compliance to the VB remain 100%, and did the number of ventilator days make any difference in the two ETTs and VAP rates. A descriptive retrospective data showed no significant difference in the number of VAPs based on the ETTs. There were more ventilator days with the KC; 821 than the MK at 580 indicating a difference between the number of ventilator days. The VAP rates for MK 1.7, the KC was 2.4. VB compliance did remain100%.

Date of Award

Summer 2013

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

Rights Statement

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