BACKGROUND Ventilator-associated pneumonia is a clear risk factor for acute lung injury which has been poorly described in trauma patients. This prospective study was undertaken to estimate the incidence of such ventilator-associated pneumonia leading to acute lung injury, the risk factors, and the associated morbidity and mortality in a group of multiple trauma patients. METHODS Trauma patie...

Conclusions Semirecumbent positioning, stress ulcer prophylaxis (sucralfate rather than H2 antagonists), aspiration of subglottic secretions, selective digestive tract decontamination, and oscillating beds reduce ventilator associated pneumonia (VAP) in select critically ill patients. No evidence currently supports specific methods of enteral feeding or increased frequency of ventilator circuit...

OBJECTIVE A review of the existing literature on ventilator-associated pneumonia in children with emphasis on problems in diagnosis. DATA SOURCES A systematic literature review from 1947 to 2010 using Ovid MEDLINE, PubMed, Cochrane Central Register of Controlled Trials, and ISI Web of Science using key words "ventilator associated pneumonia" and "children." Where pediatric data were lacking, ...

BACKGROUND Recent guidelines concerning prevention of ventilator-associated pneumonia recommend that ventilator circuits should not be changed routinely, but in practice circuit changes at regular intervals persist. METHODS We searched the MEDLINE, EMBASE, and SCOPUS databases and reviewed citations to identify articles that reported the results of randomized controlled trials and sequential ...

Much progress has been made in the understanding of nosocomial pneumonia but important issues in diagnosis and treatment remain unresolved. The controversy over diagnostic tools should be closed. Instead, every effort should be made to increase our ability to make valid clinical predictions about the presence of ventilator associated pneumonia and to establish criteria to guide restricting empi...

Ventilator Associated Pneumonia (VAP) is one of the most common hospitals acquired infection and associated with increased mortality rate. Prevention VAP very important aspect while caring for mechanically ventilator patient. The nurse’s role in prevention significant as they provide care to critically ill patient round clock. This study aims evaluate effectiveness Self-Instructional Module (SI...