ppt课件-ventilator associated pneumonia project（呼吸机相关肺炎的项目）.pptVIP

Ventilator-Associated Pneumonia Prevention Michael J. Apostolakos, MD Associate Professor of Medicine Director, Adult Critical Care University of Rochester VAP: Why is it Important? VAP occurs in 10-25% of patients undergoing mechanical ventilation (4-16 cases/1000 ventilator days Patients stay in ICU on average 4-9 more days Attributable mortality 20-50% High morbidity and mortality IT IS PREVENTABLE VAP Definition Clinically defined pneumonia Is associated with a ventilator Pneumonia occurs 48 hours or more after being placed on ventilator Pneumonia occurs within 48 hours after extubation Nu