Effects of Nursing & Physiotherapy practice on the length of mechanical ventilation & ventilator associated pneumonia risk in paediatrics

Organisation : NHS Lothian
Grant Amount : £ 39,874

25% of ventilated children develop ventilator-associated pneumonia (VAP) during their hospital stay complicating their recovery. Longer duration of mechanical ventilaton increases VAP risk. Over-sedation and less effective chest physiotherapy are known to increase mechanical ventilation duration and VAP risk.

This study aims to determine

(1) an optimal sedation regime that allows safe re-taping of endoctracheal tube without delaying mechanical ventilation weaning by analyzing patients clinical information to assess different sedation regimes and their effects on mechanical ventilation duration and VAP risk; and

(2) if chest physiotherapy training may standardize technique and force generated by using a manikin to assess if variations in physiotherapists’ technique generate different forces and the impact of training on the technique and force during simulated chest physiotherapy.