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Evid Based Nurs 3:84 doi:10.1136/ebn.3.3.84
  • Treatment

A semirecumbent body position led to a lower rate of nosocomial pneumonia than a supine position in mechanically ventilated adults


 
 QUESTION: In patients who are intubated and mechanically ventilated, is a semirecumbent body position more effective than a supine body position for reducing the incidence of nosocomial pneumonia?

Design

Randomised (allocation concealed), unblinded, controlled trial with follow up for 72 hours after extubation. An interim analysis was planned.

Setting

2 intensive care units (ICUs) of a 1000 bed, tertiary care, university hospital in Spain.

Patients

90 patients (mean age 65 y, 76% men) in the ICU who had been intubated and mechanically ventilated. Exclusion criteria were recent abdominal surgery or neurosurgery, shock refractory to vasoactive drugs or volume therapy, or previous endotracheal intubation. 96% of patients completed the trial.

Intervention

43 patients were allocated to a semirecumbent body position (45° from the horizontal) and 47 to a supine body position. Patients …

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