Ventilator Associated Pneumonia Prevention And Ventilator Patients

1965 Words8 Pages
Ventilator-Associated Pneumonia Prevention

Leonard, T. N.

Thomas Edison State College

Abstract
Ventilator-associated pneumonia (VAP) remains a big drawback within the hospital setting, with terribly high morbidity, mortality, and cost. Some people tend to perform an evidence-based review of the literature that specializes in clinically relevant pharmacological and non-pharmacological interventions to prevent VAP. Thanks to the importance of this condition the implementation of preventive measures is predominant within the care of mechanically ventilated patients. There is proof that these measures decrease the incidence of VAP and improve outcomes within the intensive care unit. A multidisciplinary approach, continuing
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VAP has been seen to cause up to 71% of hospital pneumonia deaths. According to Koenig (2006),
Ventilator-associated pneumonia is defined as pneumonia occurring more than 48 hours after patients have been intubated and received mechanical ventilation. Diagnosing VAP requires a high clinical suspicion combined with bedside-examination, radiographic-examination, and microbiologic analysis of respiratory secretions. Aggressive surveillance is vital in under-standing local factors leading to VAP and the microbiologic milieu of a given unit. Judicious antibiotic usage is essential, as resistant organisms continue to plague intensive care units and critically ill patients. Simple nursing and respiratory therapy interventions for prevention should be adopted. (para.2) VAP has two types, early on set (within the first 48 hours), and late on set VAP (after 90 hours). VAP will usually appear within the first 48 hours after intubation. Diagnosis of VAP can sometimes be very difficult. The usual and best way to diagnose VAP is to have a portable chest radiograph performed. According to Koenig (2006),
While the portable chest radiograph still remains a mandatory component in the diagnosis of ventilated patients with suspected pneumonia, as with clinical criteria for diagnosing VAP, it too has problems with both sensitivity and specificity. Poor-quality films further compromise the accuracy of chest X rays.
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