Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
Users Online: 881

 

Home  | About Us | Editors | Search | Ahead Of Print | Current Issue | Archives | Submit Article | Instructions | Subscribe | Contacts | Login 
     
REVIEW ARTICLE
Year : 2013  |  Volume : 3  |  Issue : 3  |  Page : 169-174

Ventilator-associated pneumonia: When to hold the breath?


Department of Anesthesia and Intensive Care, GB Pant Hospital, New Delhi, India

Correspondence Address:
Anirban H Choudhuri
Department of Anesthesia and Intensive Care, GB Pant Hospital, New Delhi-110 002
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5151.119195

Rights and Permissions

Ventilator-associated pneumonia (VAP) is the most common infection in mechanically ventilated patients, and carries the highest mortality. An early diagnosis and definitive management not only reduces the overall mortality, but also brings down the burden of health care to the patient by reducing the cost, length of Intensive Care Unit (ICU) stay, duration of mechanical ventilation, and so on. Out of the various scoring systems, the Clinical Pulmonary Infection Score (CPIS) calculation for VAP has a good sensitivity (72%) and specificity (85%) and the targeted antibiotic therapy in the appropriate dosage is found to be more beneficial than empirical treatment. Although controversies persist on several issues, preventive strategies like head elevation by 30 degrees, cuff pressure monitoring, avoidance of sedatives and muscle relaxants, and so on, have been found to reduce the occurrence of VAP.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2368    
    Printed50    
    Emailed3    
    PDF Downloaded192    
    Comments [Add]    
    Cited by others 3    

Recommend this journal