[Ventilator-associated pneumonia (VAP) : A risk already at the time of anesthetic induction].
This article considers measures to prevent VAP during general anesthesia in adult patients (>18 years). Procedures beyond standard hygienic precautions for VAP prevention are reviewed.
METHODS: A literature search in different databases (PubMed, Cochrane, Ovid und CINAHL) over the last five years.
RESULTS: Beyond standard hygienic precautions, microaspiration should be avoided to prevent VAP. During mechanical ventilation at least 5 cm H2O PEEP is advised. Continuous monitoring and adjustment of cuff pressure is necessary. All patients mechanically ventilated after general anesthesia for more than 24 h should be intubated with an ETT with a port for subglottic suctioning.
PMID: 27942786 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Vetter L, Konrad C, Schüpfer G, Rossi M Tags: Anaesthesist Source Type: research