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Ventilator-associated pneumonia (VAP) is a type of lung infection that occurs in people who are on mechanical ventilation breathing machines in hospitals. As such, VAP typically affects critically ill persons that are in an intensive care unit (ICU) and have been on a mechanical ventilator for at least 48 hours.
[2] [3] High frequency ventilation is thought to reduce ventilator-associated lung injury (VALI), especially in the context of Acute respiratory distress syndrome (ARDS) and acute lung injury (ALI). [2] This is commonly referred to as lung protective ventilation. [4] There are different types of high-frequency ventilation. [2]
Ventilator-associated lung injury (VALI) is an acute lung injury that develops during mechanical ventilation and is termed ventilator-induced lung injury (VILI) if it can be proven that the mechanical ventilation caused the acute lung injury. In contrast, ventilator-associated lung injury (VALI) exists if the cause cannot be proven.
HAP, or nosocomial pneumonia, is a lower respiratory infection that was not incubating at the time of hospital admission and that presents clinically two or more days after hospitalization. [49] Ventilator-associated pneumonia (VAP) is defined as HAP in patients receiving mechanical ventilation.
In intensive care, sitting patients upright reduces the risk of pulmonary aspiration and ventilator-associated pneumonia. Measures to prevent aspiration depend on the situation and the patient. In patients at imminent risk of aspiration, tracheal intubation by a trained health professional provides the best protection.
Mechanical ventilation is a method to mechanically assist or replace spontaneous breathing. [8] This involves the use of ventilator assisted by a registered nurse, physician, physician assistant, respiratory therapist, paramedic, or other suitable person compressing a bag valve mask.