because microaspiration of contaminated supraglottic secretions past the endotracheal tube cuff is considered to be central in the pathogenesis of pneumonia, improved design of tracheal tubes with new cuff material and shape have reduced the size and number of folds, which together with the addition of suction ports above the cuff to drain pooled subglottic secretions leads to reduced aspiratio...

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...

conclusions the result of this study indicated that nephrotoxicity rate among patients treated with vancomycin is under the influence of the poisoning by nephrotoxicants. higher vancomycin trough level was associated with increasing nephrotoxicity rate. results one hundred and fifty-four vap patients’ profiles were reviewed, of whom 110 were eligible. the median age was 33.50 (12 to 94) years a...

Erratum to: Comparison of the evolution of mechanical ventilation associated pneumonia (VAP) before the implantation of selective digestive decontamination (DDS) and after implantation of pneumonia zero program (NZ) Reference 1. Fernández Fernández et al (2015) Comparison of the evolution of mechanical ventilation associated pneumonia (VAP) before the implantation of selective digestive deconta...

OBJECTIVE To determine the prevalence of ventilator-associated pneumonia in an intensive care unit, as well as to identify related factors and characterize patient evolution. METHODS This study evaluated 278 patients on mechanical ventilation for more than 24 hours in a university hospital. RESULTS Ventilator-associated pneumonia developed in 38.1% of the patients, translating to 35.7 cases...

b ackg r oun d : multi-drug resistant strains of acinetobacter spp. have created therapeutic problems worldwide. the objective of this study was to detect integrons  in acinetobacter   spp. isolates  from ventilator-associated  pneu- monia patients using pcr method. me t ho d s : a total 51 bronchoalveolar lavage samples were obtained from patients in icu and examined for acinetobacter spp. inf...

OBJECTIVE >To evaluate the agreement between a new epidemiological surveillance method of the Center for Disease Control and Prevention and the clinical pulmonary infection score for mechanical ventilator-associated pneumonia detection. METHODS This was a prospective cohort study that evaluated patients in the intensive care units of two hospitals who were intubated for more than 48 hours bet...

despite improvement of mechanical ventilation devices for infants, lung injury still causes morbidity and mortality in many cases. to determine the effect of high frequency oscillatory ventilation (hfov) in infants with severe respiratory failure, 10 neonates were evaluated prospectively. mean gestational age of these patients was 35 weeks and alveolar-arterial oxygen gradient (a-ado2) and the ...

background higher life expectancy and increased ischemic heart disease (ihd) have resulted in increasing number of the elderly patients undergoing cardiac surgeries. age along with many other comorbidities influence the outcome of major surgeries in the elderly patients; hence, case selection before major surgeries is challenging. objectives the pure effect of age after adjusting for other majo...