Professional Documents
Culture Documents
CLRT Final Project
CLRT Final Project
Review Literature
Analyze & collect data from available literature
October-
November Identify possible barriers at unit level, hospital & nation wide
o Lung injury arising from from different etiologies all having the
same characteristics of
o Bilateral diffuse infiltrates on X-Ray
o Hypoxemia
o Non-cardiogenic pulmonary edema
o Low lung compliance
o PF ratio <100 mmHg (signifies lung compliance and degree of hypoxemia)
600
Jan-16
500 Febuary 2016
Mar-16
400 Apr-16
May-16
300 Jun-16
Jul-16
200
Aug-16
Sep-16
100
Oct-16
0 Nov-16
Total ICU Vent Days Dec-16
Total ICU Ventilators- 2017
700
600
Jan-17
500
Feb-17
400 Mar-17
Apr-17
300 May-17
200 Jun-17
Jul-17
100
0
VAE Criteria
There are three criteria that can be used to meet the PVAP definition:
5
Ouarter 1
4
Ouarter 2
3 Quarter 3
Quarter 4
2
0
VAC IVAC PVAP
Trauma Patients-2017
4
Quarter 1
3 Quarter 2
Quarter 3
2 Quarter 4
0
VAC IVAC PVAP
Medicine Patients-2016
12
10
8
Quarter 1
6 Quarter 2
Quarter 3
4 Quarter 4
0
VAC IVAC PVAP
Medicine Patients-2017
4
Quarter 1
3 Quarter 2
Quarter 3
2 Quarter 4
0
VAC IVAC PVAP
Unit Compliance
o It is proven that patients that have been on CLRT
function for patient to have higher P/F ratios
Davis, K (2001). The acute effects of body position strategies and respiratory therapy in paralyzed patients with acute lung in jury.
Critical Care, 5, 81-87.
Goldhill, DR (2007). Rotational bed therapy to prevent and treat respiratory complications: A review and meta-analysis. American
Journal of Critical Care, 16(1), 50-61.
Kirschenbaum, L. et al. (2002). Effect of continuous lateral rotational therapy on the prevalence of ventilator-associated pneumonia in
patients requiring long-term ventilatory care. Critical Care Medicine, 30(9), 1983-1986.
Pierce, L. (2007). Lung expansion, positioning, and secretion clearance in Management of the Mechanically Ventilated Patient.
Philadelphia: Elsevier Saunders, pp. 140-180.
CDC (2017) Ventilator-associated event (VAE). Device-associated module VAE. Retrieved from
https://www.cdc.gov/nhsn/pdfs/pscmanual/10-vae_final.pdf
Vollman, K (2005). Progressive mobility guidelines for critically ill patients. Website: Kathleen Vollman Advancing Nursing. Retrieved
from http://www.vollman.com/pdf/SugGdlns.pdf.
Swadener-Culpepper, L. (2004, September). Continuous lateral rotation therapy (CLRT): Development and implementation of an
effective protocol for the ICU. Medical Center of CentralGeorgia, Macon, GA.