Which Of The Following Strategies Are Most Likely To Prevent VAEs?

What are ventilator events?

Ventilator-associated pneumonia (VAP), sepsis, Acute Respiratory Distress Syndrome (ARDS), pulmonary embolism, barotrauma, and pulmonary edema are among the complications that can occur in patients receiving mechanical ventilation; such complications can lead to longer duration of mechanical ventilation, longer stays ….

How is VAP treated?

A new approach in VAP treatment is the use of nebulized antibiotics. Its main appeal is that allows achieving high local concentration of antibiotics, with fast clearance, which reduces risk for development of resistance, and with minimal absorption that translates into less toxicity.

How common is VAP?

Eighty-six percent of nosocomial pneumonias are associated with mechanical ventilation and are termed ventilator-associated pneumonia (VAP). Between 250,000 and 300,000 cases per year occur in the United States alone, which is an incidence rate of 5 to 10 cases per 1,000 hospital admissions (134, 170).

What is a IVAC?

Antimicrobial Agent Appendix The antimicrobial criterion is one of the required criteria in the Infection-related Ventilator-Associated Complication (IVAC) definition.

What bacteria causes VAP?

Common causative pathogens of VAP include Gramnegative bacteria such as Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, and Acinetobacter species, and Gram-positive bacteria such as Staphylococcus aureus9-14.

What causes ventilator associated events?

Qualitative analyses suggest that most VACs are caused by pneumonia, atelectasis, acute pulmonary edema, acute respiratory distress syndrome, pulmonary embolism, aspiration, and abdominal distension (2, 5).

What is a pVAP?

Ventilator-associated pneumonia (VAP) —pedVAP in children and Possible VAP (pVAP) when suspected in adults—is a lung infection that develops in a patient who is on a ventilator. An infection may occur if germs enter through the tube and get into the patient’s lungs (CDC, 2010).

What are the most common conditions that trigger ventilator associated events?

Four common conditions that are often associated with ventilator-associated events are pneumonia, atelectasis, fluid overload and acute respiratory distress syndrome.

How can you prevent VAP?

To reduce risk for VAP, the following nurse-led evidence-based practices are recommended: reduce exposure to mechanical ventilation, provide excellent oral care and subglottic suctioning, promote early mobility, and advocate for adequate nurse staffing and a healthy work environment.

How do you calculate VAP?

VAP incidence was calculated as follows: (Number of cases with VAP/Total number of patients who received MVx100) = VAP rate per 100 patients. VAP incidence density was calculated as follows: (Number of cases with VAP/Number of ventilator days) x 1000= VAP rate per 1000 ventilator days [20].

How can we prevent ventilator associated events?

Potential strategies include avoiding intubation, minimizing sedation, paired daily spontaneous awakening and breathing trials, early exercise and mobility, low tidal volume ventilation, conservative fluid management, and conservative blood transfusion thresholds.