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SUPPORT VENTILATION  SMART 2002 Milan, May 29-31, 2002 Freefree

Minerva Anestesiologica 2002 May;68(5):356-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Infection control in the intensive care unit. The role of the ventilator circuit

Hess D.

From the Respiratory Care, Massachusetts General Hospital, Anesthesia, Harvard Medical School Boston, MA


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Patients are ­more like­ly to devel­op VAP ­from secre­tions aspi­rat­ed ­past the ­cuff of the endo­tra­cheal ­tube ­than by ­what is ­breathed ­through the endo­tra­cheal ­tube. It may be ­more accu­rate to use the ­term “air­way-asso­ciat­ed pneu­mo­nia” rath­er ­than “ven­ti­la­tor-asso­ciat­ed pneu­mo­nia” Sev­er­al stud­ies ­have now report­ed no ­change in VAP ­rates ­when cir­cuits are ­only ­changed on an at-need­ed ­basis. ­There is ­also accu­mu­lat­ing evi­dence ­that pas­sive humid­i­fi­ers and ­closed suc­tion cath­e­ters do not ­need to be ­changed on a dai­ly ­basis.

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