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Updated: Jun 15, 2026

Lavage-induced Surfactant Depletion in Pigs As a Model of the Acute Respiratory Distress Syndrome (ARDS)
Published on: September 7, 2016
A European care bundle for prevention of ventilator-associated pneumonia
Jordi Rello1, Hartmut Lode, Giuseppe Cornaglia
1Critical Care Department, Vall d'Hebrón University Hospital, Institut de Recerca Vall d'Hebrón-UAB, CIBERES, Barcelona, Spain. jrello.hj23.ics@gencat.cat
Background:
One recent approach to facilitating guideline implementation involves the use of care bundles.
Methods:
This document presents a care bundle package addressing VAP prevention in an attempt to promote guideline-compliant practices. Uniquely, the development of these care bundles used a formalized methodology to assess the supporting data, based on multi-criteria decision analysis.
Results:
The resulting VAP care bundles for prevention were: non-ventilatory circuit changes unless specifically indicated, alcohol hand hygiene, appropriately educated and trained staff, incorporation of sedation control and weaning protocols into patient care, and oral care with clorhexidine.
Conclusion:
Adoption of these care bundles should rationalise VAP prevention practises and improve outcomes, such as length of stay.
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