NTI First Published Study
Refuting Dogma of Ventilator Bundle Use to Prevent Ventilator Associated Pneumonia
Dr. Martin Croce, University of Tennessee in Memphis analyzed the efficacy of the ventilator bundle in prevention of ventilator associated pneumonia (VAP) in trauma patients who were in the Intensive care Unit (ICU) on a ventilator for at least two days. The ventilator bundle is advocated by the Institute for Healthcare Improvement, while the Centers for Medicare and Medicaid Services have determined that VAP may be preventable with ventilator bundle use and has threatened to reduce or eliminate payment to hospitals when a patient develops VAP. This large multicenter study, including six Level I trauma centers nationally, enrolled over 600 patients and results reveal that the ventilator bundle did not prevent or reduce the occurrence of VAP. The study, which was funded by NTI and sponsored by the Department of Defense, is highlighted in the February issue of the Journal of Trauma and Acute Care Surgery.
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