BACKGROUND Mortality after pneumonia in immunocompromised patients is higher than for immunocompetent patients. The use of non-invasive mechanical ventilation for patients with severe pneumonia may provide beneficial outcomes while circumventing potential complications associated with invasive mechanical ventilation. The aim of our study was to determine if the use of non-invasive mechanical ve...

abstract background: ventilator-associated pneumonia (vap) is a common side effect in patients with an endotracheal tube. this study aimed to evaluate the effect of an upper respiratory care program on the incidence of vap in mechanically ventilated patients. materials and methods: in this clinical trial, 62 patients with endotracheal tube were selected and randomly allocated to intervention or...

Legionella pneumonia has a serious clinical course and requires treatment at intensive care unit. The need for mechanical ventilation is one of the determinants of prognosis. Mortality rate is higher in patients treated with mechanical ventilation. Non-invasive positive pressure ventilation (NPPV) provides mechanical ventilation without endotracheal intubation and decreases the incidence of ven...

OBJECTIVE To determine the epidemiology of pneumonia in patients with tracheotomy receiving short-term mechanical ventilation. DESIGN Observational prospective study. SETTING A 14-bed medical-surgical ICU. SUBJECTS Ninety-nine critically ill acute patients requiring percutaneous dilatational tracheotomy for mechanical ventilation. INTERVENTIONS Tracheal aspirate obtained 48 h before tra...

Mechanical ventilation (MV) is a well known resource and significantly related to development of ventilation-associated pneumonia.(1-3) Pneumonia, the inflammatory response resulting from uncontrolled penetration and proliferation of microorganisms in the lower respiratory tract,(4) is the most common nosocomial infection in intensive care unit (ICU) patients. (1,2,4-6) Martino(7) observed that...

Objective: To review the evidence as to whether early extubation with immediate application of non-invasive ventilation reduces mortality and ventilator-associated pneumonia and improves other outcomes in criticallyill adults receiving invasive ventilation. Data sources: Medline, Embase, CENTRAL, searched up to April, 2008. This search was supplemented by hand-searching of conference proceeding...

PURPOSE To evaluate the variables associated with mortality of patients with community-acquired pneumonia who require mechanical ventilation and to determine the attributable morbidity and intensive care unit (ICU) mortality of community-acquired pneumonia. MATERIAL AND METHODS Retrospective cohort study carried out in 361 ICUs from 20 countries including 124 patients who required mechanical ...