is an essential, life-saving therapy for patients in the modern intensive care
unit (ICU). Unfortunately, mechanical ventilation can increase a patient's risk
of developing ventilator-associated events (VAE) such as ventilator-associated
pneumonia (VAP). It is estimated that 10 to 20 percent of ventilated patients
develop VAP. VAP is associated with increased lengths of ICU and hospital stay,
extended duration of mechanical ventilation, increased mortality rates,
increased use of antimicrobials, and increased costs. VAP is the most common
and associated with the highest mortality among hospital-onset infections that
occur in the ICU setting.
can reduce the risk of complications and the occurrence of VAE. Examples of
essential prevention measures include excellent hand hygiene, patient
positioning and mobilization, oral care, managing oropharyngeal and tracheal
secretions, and sedation vacation. The Vanishing VAE gap analysis and bundle
comprise a succinct approach to VAE prevention for hospitals of all sizes
incorporating nationally recognized best practices and guidance.
For more information, contact the MHA quality and patient safety team.