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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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5151.119195

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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.

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