INCIDENCE OF VENTILATOR-ASSOCIATED PNEUMONIA ECT IN PATIENTS WITH UNDERGOING CRANIOTOMY

Abstract

Introduction: The invasive ventilatory support is an essential therapeutic device in patients with severe brain injury trauma. In the ICU Ventilator-Associated Pneumonia (VAP) is a lung complication that most commonly affects patients admitted to the use of mechanical ventilation (MV). Objective: To determine the incidence of VAP in patients with TBI who underwent craniotomy, as well as the association of VAP with a time of MV, length of stay and ICU mortality. Methods: A prospective cohort study, conducted at a referral hospital in the care and treatment of polytraumatized patients. The population comprises patients admitted to the ICU with a diagnosis of TBI who underwent craniotomy, which made use of invasive ventilatory support during hospitalization. The variables of  interest in the study were: occurrence of VAP, age, sex, type of accident because of the VM, duration of MV, duration of ICU stay, ICU mortality. Results: The study included 77 patients and of these 90.9% were male. The young individuals predominated in the study, mean age 36.6 ± 13.7  years. Of the 77 patients, 20 (26.0%) were affected by EPI. Association was found between the VAP and prolonged MV time and ICU stay. There was no association of VAP with death. Conclusion: The VAP was common infection in patients with TBI who underwent craniotomy and was associated with longer duration of MV and longer ICU stay.