flow nasal cannula, which reduces resistance so that more pressure can be
transmitted to the nares without adding imposed work of breathing during
spontaneous breathing
G. Ventilator Associated Pneumonias – (NEJM, 2004 Jan)
The daily hazard rate is highest at Day 5. Measures to decrease VAP
include:
1) Semi-recurrent position
2) Non-invasive ventilation
3) Use antibiotics for 8 days (JAMA 2003) (just as good as 15 days)
4) Use of silver coated ETT (2008)
5) Selective GI decontamination.