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Ventilator-associated pneumonia is dead: New CDC definitions for ventilation-associated conditions (VAC) and infection-related ventilator-associated complications (IVAC)

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Ventilator-associated pneumonia is dead: New CDC definitions for ventilation-associated conditions (VAC) and infection-related ventilator-associated complications (IVAC)
AAST Grand Round, March 2014

 

Presented by: Martin Croce, MD

Moderated by: Nicole Stassen, MD

 

Referenced in presentation:

National Trauma Institute prospective evaluation of the ventilator bundle in trauma patients: Does it really work?

Croce MA, Brasel KJ, Coimbra R, Adams CA Jr, Miller PR, Pasquale MD, McDonald CS, Vuthipadadon S, Fabian TC, Tolley EA.

J Trauma Acute Care Surg. 2013 Feb;74(2):354-60; discussion 360-2.

 

Use of the clinical pulmonary infection score to guide therapy for ventilator-associated pneumonia risks antibiotic overexposure in patients with trauma.

Parks NA, Magnotti LJ, Weinberg JA, Zarzaur BL, Schroeppel TJ, Swanson JM, Fabian TC, Croce MA.

J Trauma Acute Care Surg. 2012 Jul;73(1):52-8; discussion 58-9

 

Ventilator-associated pneumonia rates at major trauma centers compared with a national benchmark: a multi-institutional study of the AAST.

Michetti CP, Fakhry SM, Ferguson PL, Cook A, Moore FO, Gross R; AAST Ventilator-Associated Pneumonia Investigators.

J Trauma Acute Care Surg. 2012 May;72(5):1165-73.

 

The futility of the clinical pulmonary infection score in trauma patients.

Croce MA, Swanson JM, Magnotti LJ, Claridge JA, Weinberg JA, Wood GC, Boucher BA, Fabian TC.

J Trauma. 2006 Mar;60(3):523-7; discussion 527-8.

 

Further reading:

 

Guiding the management of intubated patients with pneumonia and ventilator-associated events using serial catheter-directed bronchoalveolar lavage.

Stoeppel CM, Eriksson EA, Diaz-Flores R, Coffie P, Koshy J, Kacir C, Hawkins K, Minei J, Minshall C.

J Trauma Acute Care Surg. 2014 May;76(5):1264-9.

 

Geographic variation in susceptibility to ventilator-associated pneumonia after traumatic injury

Zarzaur BL, Bell TM, Croce MA, Fabian TC.

J Trauma Acute Care Surg. 2013 Aug;75(2):234-40.

 

Early nonbronchoscopic bronchoalveolar lavage: predictor of ventilator-associated pneumonia?

Minshall CT, Eriksson EA, Hawkins KS, Wolf S, Minei JP.

J Trauma Acute Care Surg. 2013 Feb;74(2):448-52; discussion 452-3.

 

Decreasing ventilator-associated pneumonia in a trauma ICU.

Cocanour CS, Peninger M, Domonoske BD, Li T, Wright B, Valdivia A, Luther KM.

J Trauma. 2006 Jul;61(1):122-9; discussion 129-30.

 

Inflammation and the Host Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core--standard operating procedures for clinical care. II. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient.

Minei JP, Nathens AB, West M, Harbrecht BG, Moore EE, Shapiro MB, Bankey PE, Johnson JL, Freeman B, McKinley BA, Moore FA, Maier RV; Inflammation and the Host Response to Injury Large Scale Collaborative Research Program Investigators.

J Trauma. 2006 May;60(5):1106-13; discussion 1113.