Abstract
The ventilation associated pneumonia is one the biggest challenge in the critical care team. It has a high mortality rate and an increase cost of the management. The use of the antibiotics did not show a great improvement in the survival rate. On the other hand, the prevention of ventilation associated pneumonia shows promising results, it improves the survival rate, decease both days of antibiotic use and days in the critical care unit. In the last 10 years, different methods used for the prevention of ventilator associated pneumonia. Some of those methods show a promising results while others need do not. We reviewed different methods of prevention including oral hygiene, probiotics, cuff pressure control, subglottic secretion drainage, endotracheal cuff, coated endotracheal tube, and the multisystem approach. We review the papers and the data supplement online, and we compared between the different methods in the short outcome, long outcome, length of stay in the ICU, and the cost of the management.
Highlights
Introduction of the Prevention of VentilationAssociated PneumoniaVentilator Associated Pneumonia (VAP) is defined as parenchymal infection of the lung occurring in a patient who has been assisted by mechanical ventilation within the past 48 hours, the morbidity and mortality of VentilationAssociated PneumoniaVentilator Associated Pneumonia (VAP) makes it one of the biggest challenging cases in the critical care unit
VAP incidence is 25% of all critical care unit infectious diseases, and 10-25% of ventilated cases develop VAP, >25% of antibiotics prescribed in ICU are for VAP patients [1], VAP increases the length on mechanical ventilation, and ICU stay, longer hospital length of stay, all of those parameters increases the cost of VAP cases by $40,000 [2]
We have reviewed the new different ways in the prevention of VAP, in several ways including the incidence of VAP as a primary outcome and the mortality rate, duration of mechanical ventilation, ICU stay as a secondary outcome
Summary
Ventilator Associated Pneumonia (VAP) is defined as parenchymal infection of the lung occurring in a patient who has been assisted by mechanical ventilation within the past 48 hours, the morbidity and mortality of VAP makes it one of the biggest challenging cases in the critical care unit. The subglottic fluid, leakage, and micro aspiration has been identified as a source of VAP, different new ways has been introduced to the endotracheal tube to prevent VAP, including new designs of the cup, and suction of the subglottic fluid [8]. We have reviewed the new different ways in the prevention of VAP, in several ways including the incidence of VAP as a primary outcome and the mortality rate, duration of mechanical ventilation, ICU stay as a secondary outcome. Those new methods of VAP prevention include the Oral hygiene, probiotics, cuff pressure control, subglottic aspiration fluid, endotracheal cuff, coated endotracheal tube, and the use of multi system approach
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
