Humidification Devices and Ventilator-Associated Pneumonia: Current Recommendations on Respiratory Equipment View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2011-09-23

AUTHORS

Jean-Damien Ricard , Alexandre Boyer , Didier Dreyfuss

ABSTRACT

Ventilation-acquired pneumonia (VAP), defined as lung parenchyma ­inflammation caused by infectious micro-organisms, complicates the ICU course of 20–30% of mechanically ventilated patients [1]. Pneumonia develops after microbial invasion of the normally sterile lower respiratory tract and lung parenchyma. Among the risk factors for VAP, bacterial contamination of respiratory equipment (that can be an important reservoir for bacteria that can reach and infect the lung parenchyma) has been long recognized as a potential source of VAP [1]. Older inhalation therapy equipment posed a considerable challenge in the past (reviewed in [2]), and despite considerable improvement in respiratory equipment, the impact of humidification devices on the occurrence of VAP is still a matter of debate [2, 3]. Choice of equipment [4] and of VAP prevention policy may differ among countries [5] and perhaps impacts on costs of mechanical ventilation. This chapter will review past and recent data related to airway heating and humidification, and analyze its relationship with VAP. More... »

PAGES

199-207

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-642-02974-5_24

DOI

http://dx.doi.org/10.1007/978-3-642-02974-5_24

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1004353511


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