title: [Analysis of compliance of 2 prevention measures for ventilator-associated pneumonia (raised head of bed and cuff pressure control)].
abstract: OBJECTIVE
  To quantify the hours of mechanical ventilation in patients with head of bed elevation≥30°. Determining compliance of cuff measurement every 6h.
  
  
  METHODS
  Descriptive longitudinal study. Measured: time head of bed elevation≥30°, <30° and reasons for non compliance, as well as cuff control every 6h.
  
  
  RESULTS
  One hundred and seventy-two records of head of bed elevation and 584 of cuff pressure. Daily average head<30° for care or procedures: 2h (1h19'). The theoretical average number of hours that patients should remain at≥30° was 21h15' (3h) and actual 14h (5h) (P<.001). Registration of cuff was 76,7%. Cuffs between 20-30cmH2O were 75.9%. The 20% of cuff pressure were measured every 6h<20cmH2O and 33.7% when the interval was higher (P=.04).
  
  
  CONCLUSIONS
  A third of the day patients are<30° without justification. Cuff pressure registration and percentage of therapeutic range are high. Control every 6h decreases the cuff with pressure<20cmH2O.
authors.affiliation: Diplomada en Enfermería, Unidad de Cuidados Intensivos, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, España. Electronic address: mercedes7870@hotmail.com.
authors.forename: M
authors.initials: M
authors.lastname: del Cotillo Fuente
authors.affiliation: Diplomada en Enfermería, Unidad de Cuidados Intensivos, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Valls Matarín
mesh_terms: D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D056888:Patient Positioning; D053717:Pneumonia, Ventilator-Associated / Q000517:prevention & control*; D012121:Respiration, Artificial / Q000379:methods* / Q000592:standards*; D013997:Time Factors
keywords: Cuff pressure; Elevación de la cabecera; Enfermería; Head of bed elevation; Neumonía asociada a ventilación mecánica; Neumotaponamiento; Nursing; Prevención; Prevention; Ventilator-associated pneumonia