scholarly journals Assessment of Efficiency of Using Clinical Pulmonary Infection Score (CPIS) on the Outcome and Cost of Mechanically Ventilated Cases

2019 ◽  
Vol 87 (June) ◽  
pp. 1691-1696
Author(s):  
SARA A.A.M. HEIKAL, M.Sc. SALWA ABD EL-AZEEM, M.D. ◽  
SAHAR YASSIN, M.D. DOAA A.E. ◽  
LAMIA H. MOHAMMED, M.D.
Keyword(s):  
Pulmonary Infection ◽  
Clinical Pulmonary Infection Score ◽  
Mechanically Ventilated

scholarly journals Assessment of Efficiency of Using Clinical Pulmonary Infection Score (CPIS) on Length of Stay (LOS) among Mechanically Ventilated Cases

2019 ◽  
Vol 87 (June) ◽  
pp. 1981-1985
Author(s):  
SARA A.A.M. HEIKAL, M.Sc. SALWA ABD ELAZEEM, M.D. ◽  
SAHAR YASSIN, M.D DOA A.E. SALEH, M.D. ◽  
LAMIAA H. MOHAMMED, M.D.
Keyword(s):  
Length Of Stay ◽  
Pulmonary Infection ◽  
Clinical Pulmonary Infection Score ◽  
Mechanically Ventilated

scholarly journals Assessment of Efficiency of Using Clinical Pulmonary Infection Score (CPIS) Among Mechanically Ventilated Cases

2019 ◽  
Vol 13 (2) ◽  
pp. 20-24
Author(s):  
Sara Ahmed Ayman Mahmoud Heikal ◽  
Salwa Abd Elazeem ◽  
Sahar Yassin ◽  
Doa`a Ahmed Essawi Saleh ◽  
Lamia`a Hamed Mohammed
Keyword(s):  
Pulmonary Infection ◽  
Clinical Pulmonary Infection Score ◽  
Mechanically Ventilated

scholarly journals Nursing care and prevalence of adverse events in prone position: Characteristics of mechanically ventilated patients with severe SARS‐CoV‐2 pulmonary infection

2021 ◽  
Author(s):  
María Dolores Rodríguez‐Huerta ◽  
Ana Díez‐Fernández ◽  
María Jesús Rodríguez‐Alonso ◽  
María Robles‐González ◽  
María Martín‐Rodríguez ◽  
...  
Keyword(s):  
Adverse Events ◽  
Prone Position ◽  
Nursing Care ◽  
Pulmonary Infection ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

The Utility of Serum Procalcitonin and Clinical Pulmonary Infection Score as Diagnostic Tools for Early Ventilator-Associated Pneumonia in Pediatrics

2019 ◽  
Vol 36 (1-2) ◽  
pp. 313-326
Author(s):  
Shereen A. Mohamed ◽  
Hafez M. Bazaraa ◽  
Khaled Alenzi ◽  
Rabab El Hawary
Keyword(s):  
Pulmonary Infection ◽  
Clinical Pulmonary Infection Score ◽  
Diagnostic Tools ◽  
Ventilator Associated Pneumonia

Effect of Backrest Elevation on the Development of Ventilator-Associated Pneumonia

2005 ◽  
Vol 14 (4) ◽  
pp. 325-332 ◽  
Author(s):  
Mary Jo Grap ◽  
Cindy L. Munro ◽  
Russell S. Hummel ◽  
R.K. Elswick ◽  
Jessica L. McKinney ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Medical Records ◽  
Pulmonary Infection ◽  
Severity Of Illness ◽  
Clinical Pulmonary Infection Score ◽  
Ventilator Associated Pneumonia ◽  
Entire Study ◽  
System Data ◽  
The Mean ◽  
The Relationship

• Background Ventilator-associated pneumonia is a common complication of mechanical ventilation. Backrest position and time spent supine are critical risk factors for aspiration, increasing the risk for pneumonia. Empirical evidence of the effect of backrest positions on the incidence of ventilator-associated pneumonia, especially during mechanical ventilation over time, is limited. • Objective To describe the relationship between backrest elevation and development of ventilator-associated pneumonia. • Methods A nonexperimental, longitudinal, descriptive design was used. The Clinical Pulmonary Infection Score was used to determine ventilator-associated pneumonia. Backrest elevation was measured continuously with a transducer system. Data were obtained from laboratory results and medical records from the start of mechanical ventilation up to 7 days. • Results Sixty-six subjects were monitored (276 patient days). Mean backrest elevation for the entire study period was 21.7°. Backrest elevations were less than 30° 72% of the time and less than 10° 39% of the time. The mean Clinical Pulmonary Infection Score increased but not significantly, and backrest elevation had no direct effect on mean scores. A model for predicting the Clinical Pulmonary Infection Score at day 4 included baseline score, percentage of time spent at less than 30° on study day 1, and score on the Acute Physiology and Chronic Health Evaluation II, explaining 81% of the variability (F=7.31, P=.003). • Conclusions Subjects spent the majority of the time at backrest elevations less than 30°. Only the combination of early, low backrest elevation and severity of illness affected the incidence of ventilator-associated pneumonia.

How the modified Clinical Pulmonary Infection Score can identify treatment failure and avoid overusing antibiotics in ventilator-associated pneumonia

2014 ◽  
Vol 103 (9) ◽  
pp. e388-e392 ◽  
Author(s):  
Paulo Sérgio Lucas da Silva ◽  
Vânia Euzébio de Aguiar ◽  
Marcelo Cunio Machado Fonseca
Keyword(s):  
Treatment Failure ◽  
Pulmonary Infection ◽  
Clinical Pulmonary Infection Score ◽  
Ventilator Associated Pneumonia

Clinical usefulness of Clinical Pulmonary Infection Score of ICU Patients with Sputum Culture positive for Multi-drug resistantAcinetobacter baumannii

2003 ◽  
Vol 55 (6) ◽  
pp. 579 ◽  
Author(s):  
Ji Hyun Lee ◽  
Seok Cheol Cheon ◽  
Sun Hye Jung ◽  
Lae Hyun Phyun ◽  
Moon Zu Jang ◽  
...  
Keyword(s):  
Pulmonary Infection ◽  
Clinical Pulmonary Infection Score ◽  
Sputum Culture ◽  
Clinical Usefulness ◽  
Icu Patients ◽  
Culture Positive

scholarly journals Protective Mechanical Ventilation during General Anesthesia for Open Abdominal Surgery Improves Postoperative Pulmonary Function

2013 ◽  
Vol 118 (6) ◽  
pp. 1307-1321 ◽  
Author(s):  
Paolo Severgnini ◽  
Gabriele Selmo ◽  
Christian Lanza ◽  
Alessandro Chiesa ◽  
Alice Frigerio ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Abdominal Surgery ◽  
Pulmonary Infection ◽  
Ideal Body Weight ◽  
Protective Ventilation ◽  
Clinical Pulmonary Infection Score ◽  
Ventilation Strategy ◽  
Protective Ventilation Strategy ◽  
Open Abdominal Surgery ◽  
Protective Mechanical Ventilation

Abstract Background: The impact of intraoperative ventilation on postoperative pulmonary complications is not defined. The authors aimed at determining the effectiveness of protective mechanical ventilation during open abdominal surgery on a modified Clinical Pulmonary Infection Score as primary outcome and postoperative pulmonary function. Methods: Prospective randomized, open-label, clinical trial performed in 56 patients scheduled to undergo elective open abdominal surgery lasting more than 2 h. Patients were assigned by envelopes to mechanical ventilation with tidal volume of 9 ml/kg ideal body weight and zero-positive end-expiratory pressure (standard ventilation strategy) or tidal volumes of 7 ml/kg ideal body weight, 10 cm H2O positive end-expiratory pressure, and recruitment maneuvers (protective ventilation strategy). Modified Clinical Pulmonary Infection Score, gas exchange, and pulmonary functional tests were measured preoperatively, as well as at days 1, 3, and 5 after surgery. Results: Patients ventilated protectively showed better pulmonary functional tests up to day 5, fewer alterations on chest x-ray up to day 3 and higher arterial oxygenation in air at days 1, 3, and 5 (mmHg; mean ± SD): 77.1 ± 13.0 versus 64.9 ± 11.3 (P = 0.0006), 80.5 ± 10.1 versus 69.7 ± 9.3 (P = 0.0002), and 82.1 ± 10.7 versus 78.5 ± 21.7 (P = 0.44) respectively. The modified Clinical Pulmonary Infection Score was lower in the protective ventilation strategy at days 1 and 3. The percentage of patients in hospital at day 28 after surgery was not different between groups (7 vs. 15% respectively, P = 0.42). Conclusion: A protective ventilation strategy during abdominal surgery lasting more than 2 h improved respiratory function and reduced the modified Clinical Pulmonary Infection Score without affecting length of hospital stay.

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