Ventilator-Associated Events : Epidemiology, Risk Factors, and Prevention - 29/10/21

Doi : 10.1016/j.idc.2021.07.005

Jeremy Weinberger, MD ^a,^b,^c, Noelle Cocoros, DSc, MPH ^a, Michael Klompas, MD, MPH ^a,^b,^⁎
^a Department of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, 401 Park Street, Suite 401, Boston, MA 02215, USA
^b Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
^c Division of Pulmonary, Critical Care, and Sleep Medicine, Tufts Medical Center, 200 Washington Street, Boston, MA 02111, USA

^∗Corresponding author. Department of Population Medicine, 401 Park Street, Suite 401, Boston, MA 02215.Department of Population Medicine401 Park Street, Suite 401BostonMA02215

Résumé

The Centers for Disease Control and Prevention shifted the focus of safety surveillance in mechanically ventilated patients from ventilator-associated pneumonia to ventilator-associated events in 2013 to increase the objectivity and reproducibility of surveillance and to encourage quality improvement programs to focus on preventing a broader array of complications. Ventilator-associated events are associated with a doubling of the risk of dying. Prospective studies have found that minimizing sedation, increasing spontaneous awakening and breathing trials, and conservative fluid management can decrease event rates and the duration of ventilation. Multifaceted interventions to enhance these practices can decrease ventilator-associated event rates.

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Keywords : Ventilator-associated events, Ventilator-associated pneumonia, Mechanical ventilation, Quality improvement, Infection control and prevention