VAP prevention â non-antimicrobial methods
VAP prevention â non-antimicrobial methods
VAP prevention â non-antimicrobial methods
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Reducing <strong>VAP</strong> – <strong>non</strong>-<strong>antimicrobial</strong> interventions<br />
Semirecumbency<br />
has limited effect<br />
Cuff pressure &<br />
shape is important<br />
Microaspiration<br />
is common<br />
CHG 2% seems to ↓<strong>VAP</strong><br />
Subglottic<br />
secretion drainage<br />
is reliably effective<br />
Early<br />
tracheostomy<br />
may ↓<strong>VAP</strong>, but<br />
not before day 7<br />
Stress ulcer<br />
prophylaxis has<br />
uncertain effect<br />
on <strong>VAP</strong><br />
But<br />
is best<br />
reserved for<br />
high-risk pts<br />
Application of<br />
common sense<br />
& technology
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