Khalid Obaid Alanazi¹*, Abdulaziz Ahmed Alhayti¹, Osama Ibrahim Almujalli¹, Alwaleed Ahmed Amri¹, Sultan Saad Alotaibi¹, Hisham Hussain Aljurays¹, Khalid Hamdan Alanazi², Abdullah Hassan Asiri¹, Yazeed Mohammed Alkhalifah¹ and Mohammed Saad Aldosari¹

¹Respiratory Therapist, Respiratory Care Services, Intensive Care Unit, King Saud University Medical City, Riyadh, Saudi Arabia
²Respiratory Therapist, King Saud University Medical City, Riyadh, Saudi Arabia

*Corresponding Author: Khalid Obaid Alanazi, Respiratory Therapist, Respiratory Care Services, Intensive Care Unit, King Saud University Medical City, Riyadh, Saudi Arabia.

Received: July 15, 2024; Published: August 06, 2024

Abstract

Background: It's uncertain whether body position is optimal to avoid ventilator-associated pneumonia based on available data. The purpose of this systematic review was to know effect of body positions in ventilator associated pneumonia prevention.

Method: We conducted a systematic review according to PRISMA guidelines, we included RCTs of intubated patients receiving mechanical ventilation and hospitalized to intensive care unit. Different body positioning (semi-recumbent, lateral, or prone) or varying positioning degree in patients on mechanical ventilation were the therapies that were evaluated.

Results Increases in bed head elevation angle lead to considerable improvements in pulmonary compliance and incidence of VAP as well as other mechanical respiratory parameters. The LTP decreased VAP incidence. Treatment with CLRT significantly reduced VAP prevalence. In severe ARDS patients, prone positioning did not reduce VAP incidence.

Conclusion: we conclude that bed elevation decrease the incidence of ventilator associated pneumonia and the duration of mechanical ventilation.

 Keywords: Ventilator Associated Pneumonia; Prevention; Body Position

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Citation

Citation: Khalid Obaid Alanazi., et al. “Ventilator Associated Pneumonia Prevention Using Body Positioning; Systematic Review”.Acta Scientific Medical Sciences 8.9 (2024): 15-21.

Copyright

Copyright: © 2024 Khalid Obaid Alanazi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.