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PedsCrit
Ventilator-Associated Pneumonia with Dr. Sam Davila
Mar 20, 2023
Dr. Sam Davila, a specialist in pediatric infectious diseases and cardiac critical care, discusses ventilator-associated pneumonia. He explores the diagnosis and treatment of VAP, considerations for empiric therapy, and strategies for preventing and managing VAP.
38:52
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Quick takeaways
- Clinical judgment is crucial in diagnosing ventilator-associated pneumonia, relying on a combination of clinical factors rather than just lab tests.
- Tailoring empiric therapy based on individual risk factors and past microbiological history can guide appropriate treatment for ventilator-associated pneumonia.
Deep dives
Pay Attention to the Clinical Diagnosis
When it comes to hospital-acquired pneumonia, it is crucial to pay attention to what is happening at the bedside and put all the pieces together for an accurate clinical diagnosis. This involves looking for fever, inflammation, respiratory symptoms or pathology, changes in lung mechanics, and infectious markers. The ultimate diagnosis of pneumonia relies on the combination of these factors, and it is important to use clinical judgment rather than relying solely on lab tests or cultures.
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