Práticas De Prevenção De Pneumonia Associada À Ventilação Mecânica Em Terapia Intensiva

Objective: to identify the adherence to practices of prevention of Mechanical Ventilation-Associated Pneumonia (VAP) in an Intensive Care Unit (ICU). Method: cross - sectional, descriptive, quantitative approach. It was carried out in an ICU of a public university hospital in Parana. Adherence to VAP prevention practices was extracted from medical records and direct observation of the patients, through a dichotomous checklist based on the main preventive actions recommended by the literature. To the tabulated data, descriptive statistical analysis was carried out. Results: The most adherent practices for the prevention of VAP were: maintenance of head elevation 30-45o (n = 79; 100%) and control of cuff pressure (72; 91.1%). There were 32 (40.5%) medical records without records of oral hygiene. Among the non adhered practices, the non-interruption (n = 64; 81%) of the sedation stands out. In addition, prophylaxis care of venous thromboembolism and peptic ulcer were not performed. Conclusion: adherence to the practices of prevention of VAP has an emphasis on actions of a routine nature.