Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Assessment of Ventilation I: Respiratory Rate01:20

Assessment of Ventilation I: Respiratory Rate

1.3K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
1.3K
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

331
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
331
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

442
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
442
Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

256
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
256
Acute Respiratory Failure-II01:21

Acute Respiratory Failure-II

368
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
368
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

209
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
209

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Transportation Access as a Structural Determinant of Firearm Violence.

The American surgeon·2026
Same author

Borders within US trauma care: Disparities in mortality and resource utilization among patients with precarious legal status.

Surgery·2026
Same author

Complex Blunt Traumatic Abdominal Wall Hernias: A Review of Contemporary Management.

The American surgeon·2026
Same author

Effects of GLP-1 receptor agonists on cardiometabolic outcomes in heart transplant recipients: A systematic review and meta-analysis of observational studies.

JHLT open·2026
Same author

Every hour counts: Venous thromboembolism prophylaxis after spinal trauma.

The journal of trauma and acute care surgery·2026
Same author

Angioembolization versus surgical repair in pediatric liver trauma: A propensity score-matched analysis of TQIP data.

Journal of pediatric surgery·2026
Same journal

Learning Surgery's Moral Questions: Mentorship, Reflection, and Professional Formation.

The American surgeon·2026
Same journal

Complete Response of Merkel Cell Carcinoma to Immunotherapy and Single-Fraction Radiotherapy Following Severe COVID-19 Infection: A Case Report and Review of Immune Mechanism.

The American surgeon·2026
Same journal

Perioperative Acute Myocardial Infarction in Non-Cardiac Operations: A National Analysis.

The American surgeon·2026
Same journal

Outcomes of Completion Cholecystectomy: Association With Patient Comorbidity in a National Database.

The American surgeon·2026
Same journal

Building the Conversation: Editorial Stewardship in Contemporary Surgical Publishing.

The American surgeon·2026
Same journal

Musculoskeletal Pain in Surgeons on Operating Days.

The American surgeon·2026
See all related articles

Related Experiment Video

Updated: Sep 13, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

1.7K

Reported Ventilator Associated Pneumonia Rates in the Trauma Population do not Reflect Clinically Significant

Alison K Mortemore1, Prashanth Balaraman1, Emily McGee1

  • 1Department of Surgery New Orleans, Tulane University School of Medicine, New Orleans, LA, USA.

The American Surgeon
|July 28, 2025
PubMed
Summary
This summary is machine-generated.

Ventilator-associated pneumonia (VAP) is underreported in trauma registries. Clinically significant infections are more common than reported VAP rates, highlighting a need for improved VAP definitions and reporting standards in trauma care.

More Related Videos

Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
06:22

Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS

Published on: April 7, 2021

3.5K
Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria
11:32

Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria

Published on: February 23, 2014

15.2K

Related Experiment Videos

Last Updated: Sep 13, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

1.7K
Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
06:22

Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS

Published on: April 7, 2021

3.5K
Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria
11:32

Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria

Published on: February 23, 2014

15.2K

Area of Science:

  • Critical Care Medicine
  • Trauma Surgery
  • Infectious Disease Epidemiology

Background:

  • Ventilator-associated pneumonia (VAP) is a significant cause of morbidity and mortality in intensive care units (ICUs).
  • Trauma patients face elevated VAP risk due to injuries like chest trauma and aspiration.
  • VAP is a quality metric for the Trauma Quality Improvement Program (TQIP), yet data in trauma populations is scarce.

Purpose of the Study:

  • To compare VAP rates reported in trauma registries with rates of clinically significant respiratory infections.
  • To evaluate the accuracy of trauma registry VAP reporting in identifying actual infections in trauma patients.

Main Methods:

  • Retrospective analysis of intubated adult trauma patients from January 2019 to December 2023 at a Level 1 trauma center.
  • VAP definition: ≥ moderate growth of a speciated organism on respiratory culture ≥ 2 days post-intubation.
  • Comparison of trauma registry VAP data against clinical VAP diagnoses.

Main Results:

  • Over 5 years, 980 patients (median age 42, 71.3% blunt trauma, median ISS 20) were analyzed.
  • Trauma registry reported VAP in 8.3% of patients; however, clinical VAP was identified in 23.7%.
  • VAP reporting demonstrated low sensitivity (29.2%) in predicting clinically significant respiratory infections (AUC 0.640).

Conclusions:

  • Ventilator-associated pneumonia is significantly underreported in trauma registries.
  • Current VAP reporting lacks sensitivity for identifying actual respiratory infections in trauma patients.
  • Enhanced VAP definitions, standardized reporting, and improved diagnostic use of cultures are crucial for VAP as a quality metric in trauma care.