Journal Club - Recent Additions

April - 2013

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Complications of Mechanical Ventilation — The CDC's New Surveillance Paradigm

Michael Klompas NEJM, 2013, 368:1472-1475


The definition of VAP has been problematic due to;

- subjective criteria eg “change in the quality or quantity of sputum production”

- pressure to improve VAP resulting in “surveillance artifact”. Evidence for this includes >50% of nonteaching...


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