The elevation of the head acting for prevention of ventilator-associated pneumonia – literature review

Suely Morais Almeida, Isabel CF da Cruz


Patients in intensive care often require the use of an artificial airway, it has its depressed level of consciousness, respiratory failure, trauma or need for aspiration of secretions, making them susceptible to pneumonia associated with mechanical ventilation. The objective of this study is to investigate the effectiveness of elevating the head by 30 to 45 among other prevention measures. The method used was a computerized literature search in the databases online, over the period 2007 to 2012. It was observed that the elevation of the head at 30 and 45, is one of the most simple and effective prevention. We conclude that good nursing practices associated with elevated bed rest at 30 and 45, may prevent ventilator-associated pneumonia. It is recommended the creation of a protocol for prevention, constant training of staff and preparation of posters displaying the results of the performance of the team in prevention.


intensive care, patient positioning, prevention

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