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Multicenter Evaluation of a Novel Surveillance Paradigm for Complications of Mechanical Ventilation

2011; Public Library of Science; Volume: 6; Issue: 3 Linguagem: Inglês

10.1371/journal.pone.0018062

1932-6203

Michael Klompas, Yosef Khan, Ken Kleinman, R. Scott Evans, James F. Lloyd, Kurt Stevenson, Matthew H. Samore, Richard Platt,

Healthcare Decision-Making and Restraints

Ventilator-associated pneumonia (VAP) surveillance is time consuming, subjective, inaccurate, and inconsistently predicts outcomes. Shifting surveillance from pneumonia in particular to complications in general might circumvent the VAP definition's subjectivity and inaccuracy, facilitate electronic assessment, make interfacility comparisons more meaningful, and encourage broader prevention strategies. We therefore evaluated a novel surveillance paradigm for ventilator-associated complications (VAC) defined by sustained increases in patients' ventilator settings after a period of stable or decreasing support.