Ventilator-Associated Pneumonia in Critically Ill Patients
Authors: Bruce Kramer
Journal: Annals of Internal Medicine (1999)

Letters15 June 1999Ventilator-Associated Pneumonia in Critically Ill PatientsBruce Kramer, MDBruce Kramer, MDBassett Hospital; Cooperstown, NY 13326 (Kramer)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-12-199906150-00025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Cook and colleagues' study (1) adds to evidence that the ventilator is associated with nosocomial pneumonia in critically ill patients (2). The authors did not describe the interface of the ventilator and the patient in this study or in their previous randomized trial of sucralfate compared with ranitidine for the prevention of upper gastrointestinal bleeding (3). The latter study used the same multicenter national database of patients receiving mechanical ventilation for 48 hours or more. However, the mean duration of ventilation suggests that the interface was an endotracheal tube, not a face mask. A recent study (4) ...References1. Cook DJ, Walter SD, Cook RJ, Griffith LE, Guyatt GH, Leasa D, et al . Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients. Ann Intern Med. 1998;129:433-40. LinkGoogle Scholar2. Cook D, DeJonghe B, Brochard L, Brun-Buisson C. Influence of airway management on ventilator-associated pneumonia. JAMA. 1998;279:781-7. CrossrefMedlineGoogle Scholar3. Cook D, Guyatt G, Marshall J, Leasa D, Fuller H, Hall R, et al . A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in patients requiring mechanical ventilation. N Engl J Med. 1998;338:791-7. CrossrefMedlineGoogle Scholar4. Antonelli M, Conti G, Rocco M, Bufi M, DeBlasi RA, Vivino G, et al . A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med. 1998;339:429-35. CrossrefMedlineGoogle Scholar5. Brochard L, Mancebo J, Wysocki M, Lofaso F, Conti G, Rauss A, et al . Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med. 1995;333:817-22. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Bassett Hospital; Cooperstown, NY 13326 (Kramer) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIncidence of and Risk Factors for Ventilator-Associated Pneumonia in Critically Ill Patients Deborah J. Cook , Stephen D. Walter , Richard J. Cook , Lauren E. Griffith , Gordon H. Guyatt , David Leasa , Roman Z. Jaeschke , and Christian Brun-Buisson Ventilator-Associated Pneumonia in Critically Ill Patients Deborah Cook Metrics Cited ByNon-invasive ventilation for the management of acute hypercapnic respiratory failure due to exacerbation of chronic obstructive pulmonary diseasePredictive Factors for the Effect of Treatment by Noninvasive Ventilation in Patients with Respiratory Failure as a Result of Acute Exacerbation of the Chronic Obstructive Pulmonary DiseaseUse of Bronchoscopy in Patients with Pulmonary Infections During Noninvasive Mechanical VentilationNoninvasive ventilation in acute severe asthmaNon-invasive positive pressure ventilation for treatment of respiratory failure due to severe acute exacerbations of asthmaNoninvasive versus conventional ventilation to treat hypercapnic encephalopathy in chronic obstructive pulmonary diseaseEarly and late failure of noninvasive ventilation in chronic obstructive pulmonary disease with acute exacerbationAcute exacerbations of chronic obstructive pulmonary disease 15 June 1999Volume 130, Issue 12Page: 1027-1028KeywordsDatabasesHemorrhageNoninvasive ventilationPatientsPneumoniaRandomized trialsRespiratory failureRespiratory system proceduresVentilator associated pneumoniaVentilators Issue Published: 15 June 1999 CopyrightCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...