• Anukul
• Mrs D.Priya
• Dr. Mrs. NishaNaik
• Dr. Mrs. Rupali Salvi

Every year million of patients received mechanical ventilator treatment and most of sample develop the ventilator associated infections. The ventilator bundle is an effective method to reduce VAP rates in PICU. To prevent from the ventilator associated infections we can implement bundle care which included hand washing, adherence of personal protective equipment, suctioning, elevate the head if the beds, regular monitor of vital signs, change of position, oral care, and change of humidified water. A systematic introduction of bundle care can decrease both infection and antibiotic use, especially for those children who require longer duration of ventilation.Institute for Health Care Improvement (IHI), USA has developed the concept of ‘Bundle’ to help clinician deliver bedside care more reliably and effectively. Each bundle consists of three to five elements, all of which are well established practices and evidence based but are not usually, uniformly practised at the bedside. This concept has been initiated as a quality improvement process as it was realized that clinician’s practice pattern vary and bedside application of standard guidelines are not uniform reflecting in inappropriate care. This is mostly applicable to Critical Care Practice as the patient group are heterogeneous, have a high mortality, many care givers involved in patient care resulting in heterogeneous care delivery with resultant increase in mortality. Each element of this bundle may be practiced separately but application of the entire bundle gives the most consistent result in achieving best patient outcome.The present study title: A case study to assess the effect of bundle care on respiratory hygiene among the children on mechanical ventilator in the Paediatric Intensive CareUnit. The objectives are to identify the respiratory hygiene of the children on mechanical ventilator. To find out the effect of bundle care on respiratory hygiene.Material and Methods: In present study, researcher adopted case study research design.The study carried out 10 samples. Ethical clearance was taken. A Non-probability Purposive Sampling Technique was used. The significance was calculated by using mean, standard deviation, and calculated ’t’ value, and association was done by Fisher's exact test with demographic variable. Result: Before bundle care 60% of the children on mechanical ventilator had severe respiratory hygiene (score 7-10) and 40% of sample had moderate respiratory hygiene (score 4-6).After bundle care, 80% of the children on mechanical ventilator had mild respiratory hygiene (score 1-3) and 20% of sample had moderate respiratory hygiene (score 4-6).This indicates that the respiratory hygiene of the children on mechanical ventilator improved remarkably after bundle care.. Conclusion: It has been observed that average respiratory hygiene score before bundle care was 7.2 which reduced to 2.8 after bundle care. T-vale for this test was 7.8 with 9 degrees of freedom. At baseline, all the children on mechanical ventilators had positive microbiological test. In posttest, all the children on mechanical ventilators had negative microbiological test.

Effect, Deep Breathing Exercise, Pop up toys, Incentive spirometry, Respiratory status, Children, Lower respiratory tract infection

"A case study to assess the effect of bundle care on respiratory hygiene among the children on mechanical ventilator in the Paediatric Intensive Care Unit.", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 6, page no.145-152, June 2019, Available :http://www.jetir.org/papers/JETIR1907V26.pdf

"A case study to assess the effect of bundle care on respiratory hygiene among the children on mechanical ventilator in the Paediatric Intensive Care Unit.", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 6, page no. pp145-152, June 2019, Available at : http://www.jetir.org/papers/JETIR1907V26.pdf