VAP is a perennial riddle in the intensive care unit. There are numerous murky diagnostic tests, but no single gold-standard diagnostic test. Consequently, we are usually left wondering whether or not the patient truly has a VAP. This makes VAP an unsatisfying diagnosis, as we are continually walking a blurred line between undertreatment and overtreatment.
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Josh is the creator of PulmCrit.org. He is an associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.
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[…] ,VAP is a perennial riddle in the intensive care unit. There are numerous murky diagnostic tests, but no single gold-standard diagnostic test. Consequently, we are usually left wondering whether or not the patient truly has a VAP. This makes VAP an unsatisfying diagnosis, as we are continually walking a blurred line between undertreatment and overtreatment. EMCrit Project by Josh Farkas.,Read More […]
extremely thorough, but interesting throughout. once again, very well done Josh!!
Thank you for bringing this up. It seems to me that during a pandemic this is one of the most pressing issues. Since now there is a risk of getting on artificial ventilation for almost everyone who can get coronavirus. So while artificial ventilation is called almost the most necessary and only means of fighting the virus. So it became interesting why exactly this is and how it helps. Thank you for your lecture. It is very pleasant to listen to you. And thank you for explaining to those who absolutely do not understand this topic, but really want to… Read more »
I cant seem to find the Podcast for this chapter. Please advise.
we’re running behind, sorry, hopefully the podcast will be up soon but it might be a few weeks.
Reducing the source of the contamination should be one of the top priority of every ICU. Various clinical studies have established the importance of effective suction removal of pathogens in order to reduce the incidence of VAP, shrink costs, improve outcomes, and reduce mortality.
The NeVap Aspire Suction tube revolutionizes subglottic suctioning with patented radial multiport suctioning https://www.youtube.com/watch?v=ffY-Ou8xbvE .
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Like all of the IBCC, this is a very eloquent and excellent summary. I have one thought I’d like to share: I feel like I’ve worked in places that are bronchoscopy adverse, bronchoscopy avid, and somewhere in between. I think your summary of the considerations of bronchoscopy is a good one, but the point about bronchoscopy not being related to outcome is a little flimsy (and is thrown about often in those that are bronchoscopy adverse). But why would a diagnostic test (and not an intervention) possibly lead to a different outcome? And when you later discuss the benefit of… Read more »