Ventilator-Associated Pneumonia

One way to evaluate the care of hospital patients requiring mechanical ventilators is to look at the percentage of eligible (appropriate) patients whose care meets care guidelines. The goal is 100 percent.

This graph shows the percentage of Mayo Clinic hospital patients receiving the four components of the ventilator bundle at all Mayo sites.

Ventilator-Associated Pneumonia Care

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Standards of care

The quality measures listed in the table below are known as the "standards of care" for managing hospitalized patients who require ventilators to help them breathe. This list includes the medical care widely accepted as the most appropriate care guidelines for the majority of patients who require a ventilator.

Standards of care for ventilator associated-pneumonia Explanation of this care
Percent of patients using mechanical ventilator who receive all four components of the ventilator bundle. These comprise:
  1. Elevation of the head of the bed to between 30 and 45 degrees
  2. Daily "sedation vacation" or daily assessment of readiness to remove the ventilator or both
  3. Peptic ulcer disease prophylaxis
  4. Deep vein thrombosis prophylaxis
Measures 1 and 2 are designed to help prevent ventilator-associated pneumonia. "Sedation vacation" refers to a temporary halt in the use of sedatives to test whether the patient may be ready to stop using the mechanical ventilator.

Measures 3 and 4 are designed to help prevent other complications associated with mechanical ventilation.