Skip Navigation LinksHome > March 2011 - Volume 27 - Issue 2 > Ventilator-associated pneumonia management in critical illne...
Current Opinion in Gastroenterology:
doi: 10.1097/MOG.0b013e32834373b1
Nutrition: Edited by David H. Alpers and William F. Stenson

Ventilator-associated pneumonia management in critical illness

Albertos, Raquel; Caralt, Berta; Rello, Jordi

Collapse Box


Purpose of review: Ventilator-associated pneumonia (VAP) is a frequent adverse event in the intensive care unit.

We review recent publications about the management and prevention of VAP.

Recent findings: The latest care bundles introduced standard interventions to facilitate implementation of evidence-based clinical guidelines and to improve the outcome of patients. Recent studies find that prevention management of ventilated patients decreases the risk of VAP. Enteral feeding, considered a risk factor for VAP, currently has been recommended, with appropriate administration, for all critical ill patients if no contraindications exist.

Summary: In view of the recently available data, it can be concluded that the implementation of care bundles on the general management of ventilated patients in daily practice has reduced the VAP rates. The main pharmacological measures to prevent VAP are proper hands hygiene, high nurse-to-patient ratio, avoid unnecessary transfer of ventilated patients, use of noninvasive mechanical ventilation, shortening weaning period, avoid the use of nasal intubation, prevent bio-film deposition in endotracheal tube, aspiration of subglottic secretions, maintenance of adequate pressure of endotracheal cuffs, avoid manipulation of ventilator circuits, semi-recumbent position and adequate enteral feeding.

In addition, updated guidelines incorporate more comprehensive diagnostic protocols to the evidence-based management of VAP.

© 2011 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.