Jad Chahoud, Adele Semaan1, Khalid F Almoosa2. 1. Department of Management, Policy and Community Health, School of Public Health, University of Texas Health Science Center, Houston, TX, USA. 2. Department of Internal Medicine, School of Medicine, University of Texas Health Science Center, Houston, TX, USA; Transplant Surgery ICU, Memorial Hermann Hospital TMC, Houston, TX, USA. Electronic address: Khalid.F.Almoosa@uth.tmc.edu.
Abstract
BACKGROUND: Preventing Ventilator-associated events (VAE) is a major challenge. Strictly monitoring for ventilator-associated pneumonia (VAP) is not sufficient to ensure positive outcomes. Therefore, the surveillance definition was updated and a change to the broader VAE was advocated. OBJECTIVE: This paper summarizes the scientific efforts assessing VAP preventive bundles and the recent transition in surveillance methods. METHODS: We conducted a systematic review to identify lessons from past clinical studies assessing VAP prevention bundles. We then performed a thorough literature review on the recent VAE surveillance algorithm, highlighting its advantages and limitations. CONCLUSION: VAP prevention bundles have historically proven their efficacy and the introduction of the new VAE definition aimed at refining and objectivizing surveillance methods. Randomized controlled trials remain vital to determine the effect of VAE prevention on patient outcomes. We recommend expanding beyond limited VAP prevention strategies towards VAE prevention bundles.
BACKGROUND: Preventing Ventilator-associated events (VAE) is a major challenge. Strictly monitoring for ventilator-associated pneumonia (VAP) is not sufficient to ensure positive outcomes. Therefore, the surveillance definition was updated and a change to the broader VAE was advocated. OBJECTIVE: This paper summarizes the scientific efforts assessing VAP preventive bundles and the recent transition in surveillance methods. METHODS: We conducted a systematic review to identify lessons from past clinical studies assessing VAP prevention bundles. We then performed a thorough literature review on the recent VAE surveillance algorithm, highlighting its advantages and limitations. CONCLUSION: VAP prevention bundles have historically proven their efficacy and the introduction of the new VAE definition aimed at refining and objectivizing surveillance methods. Randomized controlled trials remain vital to determine the effect of VAE prevention on patient outcomes. We recommend expanding beyond limited VAP prevention strategies towards VAE prevention bundles.
Authors: Raymond M Khan; Maha Aljuaid; Hanan Aqeel; Mohammed M Aboudeif; Shaimaa Elatwey; Rajeh Shehab; Yasser Mandourah; Khalid Maghrabi; Hassan Hawa; Imran Khalid; Ismael Qushmaq; Asad Latif; Bickey Chang; Sean M Berenholtz; Sultan Tayar; Khloud Al-Harbi; Amin Yousef; Anas A Amr; Yaseen M Arabi Journal: Ann Thorac Med Date: 2017 Jan-Mar Impact factor: 2.219
Authors: Pedro Videira Reis; Gabriela Sousa; Ana Martins Lopes; Ana Vera Costa; Alice Santos; Fernando José Abelha Journal: Braz J Anesthesiol Date: 2018-04-05