MECHANICAL VENTILATION AND HOW TO PREVENT VAP

Mechanical Ventilation And How To Prevent VAP (Ventilator Associated Pneumonia)

Mechanical Ventilation And How To Prevent VAP (Ventilator Associated Pneumonia)

Mechanical ventilation is a life-sustaining treatment. Amechanical ventilator is a breathing machine that helps to people when they can not breathe well enough alone them. The ventilator fan is also known, respirator or breathing machine. Most patients need the support of a ventilator due to serious illness are admitted to an intensive care unit (ICU). The people who need a fan for a while durations can be in a normal hospital ward, a physiotherapy department or assisted home. The purpose of this report is to find the different approaches to prevent the ventilator-associated pneumonia (VAP) which represents 80% of episodes nosocomial pneumonia and the term should apply to VAP episodes of pneumonia develop in intubated or tracheotomized patients under mechanical ventilation (MV). However, it is worth remembering that we usually refer to this entity as "probable pneumonia" as the definitive diagnosis requires evidence of the same histological or imaging (CT) which demonstrated pulmonary abscess collection culture positive.

The VAP is the most common infection in intensive care units (ICU) and responsible for more than half of all antibiotics prescribed in the sector. Usual VAP differentiate according to the timing of the event: Early: when you start in the early days of VM or revenue. There is no consensus the number of days and times different authors generally considered inferior to a week (between 4 and 7 days). It is often caused by bacteria that colonize as usual the oropharynx, such as Streptococcus pneumoniae, Haemophilus influenzae, Methicillin-sensitive Staphylococcus aureus (MSSA), etc. Delayed: When is developed after 7 days. It is caused by hospital pathogens progressively colonizing the oropharynx during admission, such as Staphylococcus aureus resistant to methicillin (MRSA), Pseudomonas aeruginosa, Klebsiella spp. Acinetobacter spp., Etc. While this distinction may be practical from an educational point of view, there keep in mind, particularly considering appropriate initial antibiotic treatment, there multiple factors (patient or environmental) may influence the etiology of VAP. The importance of this entity is determined by their frequency of occurrence and its high mortality, but how many patients could survive if avoid the appearance of VAP is a very controversial issue. This paper reviews the new features of VAP in adults, with special emphasis on the therapeutic management. (Grammatikos, et al,2008)

Discussion

The incidence of VAP varies over a ...