Pneumonia, ventilator-associated (VAP): Difference between revisions
| Line 90: | Line 90: | ||
=== 4 - Respiratory indicators === | === 4 - Respiratory indicators === | ||
Has '''at least TWO''' of the following 4 things: | Has '''at least TWO''' of the following 4 things: | ||
*New onset of purulent | *New onset of purulent respiratory secretions or change in amount or character of respiratory secretions. | ||
**In general it is secretions from the lungs (tracheal secretions, BAL sampling) that is relevant here. In intubated patients, sputum secretions mainly represent the status of the oral, orophayngeal and upper tracheal mucosa, not the lungs. | |||
*New onset or worsening cough, or dyspnea, or tachypnea | *New onset or worsening cough, or dyspnea, or tachypnea | ||
*Newly identified adventitia, crackles or bronchial breath sounds. | *Newly identified adventitia, crackles or bronchial breath sounds. | ||