Table 1. Recommendations to Prevent VAP in Adult Patients
(cont'd)
Approaches that Should Not be Considered a Routine Part of VAP Prevention
1. Oral care with chlorhexidine. (M)
2. Probiotics. (M)
3. Ultrathin polyurethane endotracheal tube cuffs. (M)
4. Tapered endotracheal tube cuffs. (M)
5. Automated control of endotracheal tube cuff pressures. (M)
6. Frequent cuff pressure monitoring. (M)
7. Silver coated endotracheal tubes. (M)
8. Kinetic beds. (M)
9. Prone positioning.
a
(M)
10. Chlorhexidine bathing.
a
(M)
11. Stress ulcer prophylaxis. (M)
12. Monitoring residual gastric volumes. (M)
13. Early parenteral nutrition. (M)
Unresolved Issues
1. Closed/in-line endotracheal suctioning.
a
May be indicated for reasons other than VAP prevention.
