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  • A target backrest elevation of 45° was not feasible for mechanically ventilated patients; elevations achieved did not prevent ventilator associated pneumonia

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A target backrest elevation of 45° was not feasible for mechanically ventilated patients; elevations achieved did not prevent ventilator associated pneumonia

https://doi.org/10.1136/ebn.9.4.117

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    van Nieuwenhoven CA, Vandenbroucke-Grauls C, van Tiel FH, et al. Feasibility and effects of the semirecumbent position to prevent ventilator-associated pneumonia: a randomized study. Crit Care Med 2006;34:396–402.OpenUrlCrossRefPubMedWeb of Science

    Q In critically ill patients on mechanical ventilation, is a semirecumbent position of 45° feasible and effective for prevention of ventilator associated pneumonia (VAP)?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    concealed.

    Embedded ImageBlinding:

    blinded (outcome assessors).

    Embedded ImageFollow up period:

    median 5–6 days (range 0–64 d).

    Embedded ImageSetting:

    4 intensive care units (ICUs) in 3 university hospitals in the Netherlands.

    Embedded ImagePatients:

    221 adults (mean age 64 y, 63% men) who were intubated within 24 hours of ICU admission and had an expected duration of ventilation ⩾48 hours.

    Embedded ImageIntervention:

    semirecumbent position (backrest 45° from horizontal) (n = 112) or supine position (10°) (n = 109) for the duration of ventilation. A nurse …

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    Footnotes

    • For correspondence: Dr M J Bonten, University Medical Center Utrecht, Utrecht, The Netherlands. mbonten{at}umcutrecht.nl

    • Source of funding: Praevention Foundation.