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New CDC Recommendations for Prevention of VAP

ventCDC Recommendations on Preventing Ventilator-Associated Pneumonia (VAP)- Mechanical ventilation is required in up to 50% of all critically ill patients during their hospital course. Ventilator-associated pneumonia (VAP) is not uncommon and is known to be associated with increased morbidity, mortality and length of stay. Currently, there is a renewed focus on VAP due to the financial reimbursement with a pay for performance fee structure. The pathogenesis of VAP is hypothesized to be due to the introduction of bacteria into the sterile lower respiratory tract. This article addresses the CDC recommendations for the known modifiable risk factors for VAP, back rest elevation, maintaining endotracheal tube cuff pressure, selection of endotracheal tube and placement, ventilator circuit care, de-contamination of oral flora, and minimizing sedation in the mechanically ventilated patient. Discuss the pathogenesis of VAP (Ventilator-associated Pneumonia). Describe the economic impact of diagnosing VAP in a patient. Identify the CDC recommended methods of VAP prevention.

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