IMPORTANCE Regular oral care with chlorhexidine gluconate is standard of care for patients receiving mechanical ventilation in most hospitals. This policy is predicated on meta-analyses suggesting decreased risk of ventilator-associated pneumonia, but these meta-analyses may be misleading because of lack of distinction between cardiac surgery and non-cardiac surgery studies, conflation of open-...

Despite decades of experience in tracheotomy, there still exists a controversy over its ideal timing. The aim of our study was to compare the impact of early and late percutaneous tracheotomy in terms of their ability to reduce mechanical ventilation duration and length of stay in Intensive Care Unit, as well as the frequency of ventilator-associated pneumonia and mortality rates in tracheotomi...

Immobility in the bed of pediatric patients intensive care units increases risk morbidities such as pneumonia, with consequences for autonomic function. Physiotherapy based on physical exercise is part rehabilitation process and can modify To compare effects two therapy protocols, one conventional other exercise, heart rate variability, length stay invasive mechanical ventilation children venti...

Ventilator-associated pneumonia, broadly defined as pneumonia that develops after 48 hours of intubation, is a common mechanical ventilation complication that causes significant morbidity and mortality in critically ill patients. Prevention strategies are continually evolving to decrease the impact of this serious and costly disease.

BACKGROUND: An estimated 150,000 to 300,000 cases of nosocomial pneumonia occur each year in US hospitals. The primary risk factor for nosocomial bacterial pneumonia is mechanical ventilation using an endotracheal tube. Ventilator-associated pneumonia (VAP) outcomes can be severe with mortality reaching 87%. VAP also extends length of stay by an average of 6 days and can cost >$40,000 per event...

INTRODUCTION The aim of the study was to determine whether the use of a nurses' protocol-directed weaning procedure, based on the French intensive care society (SRLF) consensus recommendations, was associated with reductions in the duration of mechanical ventilation and intensive care unit (ICU) length of stay in patients requiring more than 48 hours of mechanical ventilation. METHODS This pr...

Biomaterials are strategies that allow researchers to expand the investigative aspects and identify potential for composition of objectives clinical use. This study aims evaluate use biocompounds with antimicrobial action as an alternative in coating endotracheal tubes. The methodology used was a narrative review bibliography. To this end, northern question elaborated according PICo strategy. d...

The number needed to treat can be calculated for ventilator-associated pneumonia reduction strategies such as subglottic secretion drainage technology based on previous work establishing its relative risk reduction. Assuming an incidence of 4%, employing subglottic secretion drainage in 33 patients will prevent one case of ventilator-associated pneumonia, and thus potentially 4 cases annually i...

BACKGROUND Aspiration pneumonia is the most important acute complication of stroke related dysphagia. Tube feeding is usually recommended as an effective and safe way to supply nutrition in dysphagic stroke patients. OBJECTIVE To estimate the frequency of pneumonia in acute stroke patients fed by nasogastric tube, to determine risk factors for this complication, and to examine whether the occ...

Background and objectives : Ventilator-associated pneumonia (VAP) is one of the most frequent nosocomial infections in patients requiring mechanical ventilation. It leads to prolonged duration ventilation ICU stay that associated with a high rate mortality, increase healthcare burden. There have been various attempts reduce incidence VAP including use antibiotics, but neither these has conclusi...