BACKGROUND Ventilator associated pneumonia is a major cause of morbidity in the intensive care unit. Difficulties in identification of the risk factors, in diagnosing and in prevention, have intensified the problem. OBJECTIVES To measure the incidence of ventilator associated pneumonia in intensive care unit and to identify the risk factors associated. METHODS A prospective observational co...

OBJECTIVE To describe a simple protocol for ventilator-assisted preoxygenation (VAPOX) prior to rapid sequence intubation in the ED using a Hamilton T1 ventilator in an effort to further reduce the incidence of transient and critical hypoxaemia. METHODS Ventilator-assisted preoxygenation includes the following steps; preparation for rapid sequence intubation as per institutional protocols, in...

OBJECTIVE To develop and implement an objective, reliable approach to surveillance for ventilator-associated events in adult patients. DESIGN The Centers for Disease Control and Prevention (CDC) convened a Ventilator-Associated Pneumonia (VAP) Surveillance Definition Working Group in September 2011. Working Group members included representatives of stakeholder societies and organizations and ...

Indirect evidence from airway pressure recordings in mechanically ventilated patients suggests that the diaphragm exhibits contractile activity beyond that required to trigger a ventilator-assisted breath. We used the diaphragmatic EMG to provide direct evidence of persistent contractile activity and studied the effects of alterations in ventilator-delivered flow rate and tidal volume on the du...

INTRODUCTION Patients with severe traumatic brain injury are at a risk of developing ventilator-associated pneumonia. The aim of this study was to describe the incidence, etiology, risk factors for development of ventilator-associated pneumonia and outcome in patients with severe traumatic brain injury. MATERIAL AND METHODS A retrospective study was done in 72 patients with severe traumatic b...

PURPOSE OF REVIEW Mechanical ventilation is one of the most important life support tools in the ICU, but it may also be harmful by causing ventilator-induced lung injury (VILI) and other deleterious effects. Advances in ventilator technology have allowed the introduction of numerous ventilator modes in an effort to improve gas exchange, reduce the risk of VILI, and finally improve outcome. In t...

background and aim: ventilator-associated pneumonia (vap) is the second most common infection within intensive care units (icus). happening in patients requiring mechanical ventilation for more than 48 hours, the disease is associated with high morbidity and mortality. this study aims to compare the effects of matrica and chlorhexidine mouthwashes on the prevention of vap among patients hospita...

conclusions central nervous system depressant was an important risk factor for vap among poisoned patients. hypoventilation due to cns depression can lead to vap. the apache ii and length of hospital stay were shown as independent predictors of vap and mortality among these patients. results the mean age of the patients was 33.9 ± 14.3 years. the probable vap incidence and mortality were 22% an...