Search Tag: ventilator-associated pneumonia

ICU Management


2016 08 Mar

A single centre retrospective study that evaluated the accuracy in high-risk trauma patients of the infection-related ventilator-associated complications (IVAC) algorithm for detecting ventilator-associated pneumonia (VAP) found that it failed to detect nearly three-quarters of patients with VAP. The study is published in Respiratory Care . Following...Read more

ICU Management


2016 17 May

Greater collaboration between ICU nursing and medicine could help to minimise ventilator-associated pneumonia (VAP), according to a study that will be presented at the American Thoracic Society (ATS) 2016 International Conference in San Francisco on 17 May. Previous research has shown that a better nurse work environment and a closed ICU doctor staffing...Read more

ICU Management


2016 27 May

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ICU Management


2016 30 May

Case Report Using Nonbronchoscopic BAL Use of the HALYARD* Mini-BAL Sampling Catheter proved invaluable in the case of a patient experiencing complications from abdominal surgery. Dr. Roberto Oggioni has been director of the Department of Anaesthesia and Intensive Care at S. Giovanni di Dio Hospital since 2012, and wrote up the case with colleague...Read more

ICU Management


2016 27 Sep

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ICU Management


2016 27 Sep

Ventilator-associated pneumonia is a ‏major complication of mechanical ‏ventilation and represents the most ‏common reason for antibiotic prescription in ‏ventilated patients. Incidence ranges from 1.2 ‏to 8.5 cases per 1000 ventilator days or 9 to ‏27% cases per mechanically ventilated patient; ‏attributable mortality rates vary between 0% ‏and 70%...Read more

ICU Management


2016 01 Nov

A systematic review and meta-analysis of studies reporting consistency between ventilator-associated events and ventilator-associated pneumonia found that VAE surveillance was not accurate at detecting cases of traditional VAP in ICUs. The study is published in Critical Care . The U.S. Centers for Disease Control and Prevention National Healthcare...Read more

ICU Management


2016 08 Nov

Two recent Cochrane reviews have evaluated the evidence on oral hygiene care to prevent ventilator-associated pneumonia (CAP) and antibiotics to treat it. Recommendations can be made on oral hygiene, but insufficient evidence exists for antibiotics.  See Also : Seven Days Antibiotics OK for HAP/ VAP, New Guidelines Oral Hygiene In the review...Read more

ICU Management


2016 14 Nov

A study of ventilator-associated pneumonia (VAP) rates in intensive care units (ICU) published in JAMA   has revealed that rates have remained stable since 2005, in contrast to the declining rates reported for medical and surgical ICUs by the United States Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network. Persistently...Read more

ICU Management


2016 13 Dec

The American Thoracic Society and the Infectious Diseases Society of America have updated guidelines for the diagnosis and management of hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP). A summary of the latest recommendations for practising clinicians is published online in the Annals of the American Thoracic Society....Read more

ICU Management


2017 28 May

Nearly 800,000 hospital patients undergo mechanical ventilation in the U.S. each year due to different illnesses such as stroke, brain injury or pneumonia. Going on a ventilator can often be the difference between life and death for some patients. While a ventilator does provide assistance in breathing, it is also associated with certain risks that...Read more

ICU Management


2017 01 Nov

Ventilator-associated pneumonia (VAP) is still an important cause of morbidity and mortality in mechanically ventilated patients. A new analysis of 13 randomised controlled trials (RCTs), involving 1,969 patients, finds that probiotics are significantly associated with a decreased risk of VAP in mechanically ventilated patients. "It seems likely...Read more

ICU Management


2017 19 Dec

Ventilator-associated pneumonia (VAP) is the most frequent life-threatening nosocomial infection in intensive care units. Although bundles of prevention measures are effective in decreasing the VAP rate, the insufficient compliance observed in clinical practice needs to be addressed in order to define easier-to-apply procedures, according to a review...Read more

ICU Management


2018 23 May

Researchers at Massachusetts General Hospital (MGH) have developed an automated system for identifying patients at risk for complications associated with the use of mechanical ventilators. The new system uses an algorithm that has been shown to be 100 percent accurate in identifying at-risk patients when provided with necessary data, according...Read more

ICU Management


2019 15 Dec

Ventilator-associated pneumonia carries enormous morbidity and mortality, including prolonging hospital stay and increasing the cost of healthcare. In most cases, ventilator-associated pneumonia occurs without any specific signs or symptoms. Making an accurate diagnosis is often difficult. Unlike the past, the administration of empirical antibiotics...Read more

ICU Management


2021 20 Jan

The coronavirus has a high incidence of patients with severe acute respiratory syndrome (SARS). Many patients infected with COVID-19 need to be admitted to the ICU for invasive ventilation. They are also at a high risk of developing secondary, ventilator-associated pneumonia (VAP). This is because of breach of natural defences by invasive devices,...Read more

ICU Management


2021 16 Mar

Surgically opening the windpipe, or trachea, within the first seven days of the start of mechanical ventilation decreases the time patients spend on ventilators, shortens their ICU stay and lowers their risk of ventilator-associated pneumonia, according to a new systematic review. "We analysed the existing medical literature to unravel a question...Read more

ICU Management


2021 07 Dec

A major challenge in ICUs even before the COVID-19 pandemic was ventilator-associated pneumonia (VAP). However, now that the ICUs are even more overwhelmed with the complex and prolonged acute care of patients with COVID-19, VAP has become an even bigger issue. It has an overall incidence of 40 to 60%, but the problem is that the variation on VAP definitions...Read more

ICU Management


2022 20 Sep

Patients in the ICU often require invasive mechanical ventilation support. This requires tracheal intubation, where an endotracheal cuff wrapped around the tip of the tube seals the extraluminal airway for positive pressure ventilation. Inappropriate cuff pressure control can contribute to ventilator-associated complications. Studies report that approximately...Read more