As discussed above, any intubated patient is at risk for development of VAP and the longer the duration of mechanical ventilation, the higher the risk. Thus, prevention of VAP must begin with avoiding or limiting time of mechanical ventilation whenever possible. Several strategies have been described to achieve this goal: non-invasive positive pressure ventilation (NPPV), sedation holidays, weaning trials, avoiding re-intubation, and early tracheostomy have all been
Keyt et al: Prevent ion of VAP in ICU 815
studied as methods to decrease time of mechanical ventilation and therefore, decrease the risk of VAP.
As discussed above, any intubated patient is at risk for development of VAP and the longer the duration of mechanical ventilation, the higher the risk. Thus, prevention of VAP must begin with avoiding or limiting time of mechanical ventilation whenever possible. Several strategies have been described to achieve this goal: non-invasive positive pressure ventilation (NPPV), sedation holidays, weaning trials, avoiding re-intubation, and early tracheostomy have all beenKeyt et al: Prevent ion of VAP in ICU 815studied as methods to decrease time of mechanical ventilation and therefore, decrease the risk of VAP.
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