Intubated Patients Develop Ventilator Associated Pneumonia

Critically ill patients who are intubated on mechanical ventilation for more than 24 hours of are at an increased risk of 6 to 21 times of developing ventilator associated pneumonia (VAP). Patients intubated for lesser than 24 hours are at 3 times the risk of acquiring VAP.15 VAP is the parenchymal lung infection and alveolitis, the accumulation of inflammatory exudates and infiltration of airway mucosa can lead to unfavourable respiratory mechanics occurring at least 48 hours after initiation of mechanical ventilation. VAP is one reason for high costs and prolonged length of hospital stay in the intensive care units (ICU).9 The morbidity and mortality of VAP is increasingly high, mortality rates ranges from 20% to 41%. The risk of development of VAP increases days of ventilation by 4 days, critical care by 4 days and lengths of hospital stay by 9 days, respectively and these factors adds to additional costs per VAP case.16 VAP prolongs the need for mechanical ventilation that may keep patients with a poor prognosis from their underlying commodities in the ICU. Both these factors would increase the probability of death rates in the ICU among patients who have developed VAP. 17 A prospective, matched cohort study was conducted to evaluate the attributable morbidity and mortality of VAP in intensive care unit (ICU) patients. One hundred and seventy-seven patients developed VAP and stayed in the ICU for 4.3 days longer and had a trend toward an increase in risk of deathShow MoreRelatedVentilator Associated Pneumonia in the Icu1301 Words   |  6 PagesVentilator associated pneumonia (VAP) is a nosocomial infection occurring in hospitalized patients who are mechanically ventilated. These infections are common in ICU settings, difficult to diagnose early, and unfortunately have a high rate of mortality and morbidity. VAP accounts for almost half of infections in ICU settings, up to 28% of mechanically ventilated patients will develop VAP and of these patients the mortality rate is between 20% and 70% (Craven Steger, 1998). A patient that developsRead MoreSaline Instillation Down The Endotracheal Tube1533 Words   |  7 Pagessecretions and aid in suctioni ng mechanically ventilated patients in the intensive care units. Many respiratory therapists and nurses are currently using saline with endotracheal suctioning without an adequate knowledge of any existing evidence-based research or recommendation to guide the practice. The purpose of this study was to investigate and determine whether saline instillation for bronchial hygiene was beneficial or harmful to the patients and to provide evidence-based guidelines to be followedRead MoreZap Vap Essays3726 Words   |  15 PagesINTRODUCTION Ventilator Associated Pneumonia (VAP) is the second most common infection that patients develop while in the hospital and the leading cause of death due to hospital acquired infections (Augustyn, 2007). Hospital acquired infections are also known as nosocomial infections. VAP usually happens when patients are on mechanical ventilation (the ventilator) for over 48 hours. VAP is costly because it increases the hospital length of stay, often times in the Intensive Care Units (ICU). Patients areRead MoreVentilator Associated Pneumonia Compounds The Risks Of Critically Ill Patients Face1341 Words   |  6 PagesVentilator-associated pneumonia compounds the risks that critically-ill patients face in hospitalization. It affects a high proportion of patients on ventilators and has a fluctuating morbidity rate. The goal of this paper is to demonstrate the potential usefulness of chlorhexidine in preventing ventilator-associated pneumonia in adults. The paper features a review of literature found via MedScape using the keywords â€Å"chlorhexidine,† â€Å"ventilator-associated pneumonia,† â€Å"long-term ventilation† and â€Å"preventionRead MoreThe Effectiveness of Chlorhexidine in the Prevention of Pneumonia3242 Words   |  13 PagesAbstract Pneumonia is a life threatening disease for the elderly patients and is a leading cause of death in patients who are seriously ill and have been admitted to the ICU and are on mechanical breathing support, also known as the ventilator. Researchers have concluded that oral hygiene is the main culprit in the development of pneumonia in these patients. In this paper, we shall look at effectiveness of the use of an oral antiseptic agent called chlorhexidine. We will discuss the use of chlorhexidineRead MoreVentilator Associated Pneumoni Pneumonia2009 Words   |  9 Pages Ventilator Associated Pneumonia Karissa Ellison George Washington University Ventilator Associated Pneumonia Introduction Ventilator Associated Pneumonia (VAP) is defined as pneumonia in a patient who is intubated and ventilated at the time of the onset of the event or 48 hours before, and VAP rate as the number of ventilator-associated pneumonias per 1,000 ventilator days (Institute for Healthcare Improvement, 2014a). The Institute for Healthcare Improvement (IHI) gives the followingRead MoreVentilator associated pneumonia9970 Words   |  40 PagesPrevention of Ventilator Associated Pneumonia Abstract Ventilator associated pneumonia (VAP) is a hospital acquired infection occurs in the intensive care unit (ICU) for the patients who are on mechanical ventilator. It further complicates the hospital course by extending the length of stay, increase the cost of treatment, and increases the mortality rate. It is estimated that about 1% to 3% patients on mechanical ventilator develops VAP per day. Compared to the previous years, the ChlorhexidineRead MoreAction Pl Unplanned Extubation1461 Words   |  6 Pages Action Plan: Unplanned Extubation in the NICU Angelica Moore Purdue University Northwest Patient Safety/Quality Improvement Statement and Chosen Cause that will Drive Improvement An unplanned extubation (UE) in the Neonatal Intensive Care Unit (NICU) is an unforeseen occurrence observed due to various factors. One of these is due to the lack of a procedural standardization among healthcare providers. This is notably evident when staff is handling the infant during daily assessmentsRead MoreVentilator Associated Pneumonia Prevention And Ventilator Patients1965 Words   |  8 Pages Ventilator-Associated Pneumonia Prevention Leonard, T. N. Thomas Edison State College â€Æ' Abstract Ventilator-associated pneumonia (VAP) remains a big drawback within the hospital setting, with terribly high morbidity, mortality, and cost. Some people tend to perform an evidence-based review of the literature that specializes in clinically relevant pharmacological and non-pharmacological interventions to prevent VAP. Thanks to the importance of this condition the implementation of preventiveRead MoreCritical Study And Analysis Of Oral Care928 Words   |  4 Pagesstudy and analysis of the oral care provided by nursing staff as part of the Ventilator Care Bundle (VCB) and to assess whether the frequency of mouth care performed is related to the prevention of Ventilator Associated Pneumonia (VAP) in patients mechanically ventilated (Zilberberg et al. 2009). The following document is a case study written by an intensive care nurse, who will explore the oral care provided to a patient admitted in an Intensive Care Unit (ICU) and will assess the overall care process