The Internet Book of Critical Care Podcast

IBCC Episode 105 - Ventilator Associated Pneumonia

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Dec 1, 2020
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INSIGHT

No Gold Standard for VAP Diagnosis

  • No gold standard test exists to definitively diagnose ventilator associated pneumonia (VAP).
  • This causes challenges with over- and under-treatment based on variable diagnostic criteria.
INSIGHT

VAP Often Bronchopneumonia

  • VAP typically manifests as bronchopneumonia with more sputum production than community-acquired pneumonia.
  • This difference might help with culturing causative organisms in VAP cases.
INSIGHT

Ambiguity of Ventilator Tracheobronchitis

  • Ventilator-associated tracheobronchitis (VAT) may exist as infection without radiographic infiltrate.
  • Evidence to treat VAT is limited; often it may represent colonization rather than true infection.
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