Bundle Produce, VAP Reduce

VAP definition

A pneumonia where the patient is on mechanical ventilation for >2 calendar days on the date of event, with day of ventilator placement being day 1, and the ventilator was in place on the date of event or the day before.

Ventilator Bundle to Reduce VAP

HOB elevation Sedation interruption and checking readiness to extubate PUD prophylaxis DVT prophylaxis Oral care with cholorhexiden

HOB elevation from 30 to 45 degrees reduces VAP by:

Decrease risk of aspiration Improve the ventilation

Why do we need to reduce VAP?

To decrease : Mortality from 46% to 32% Duration of ventilation, ICU and hospital LOS. Save $40,000 per pt