The Leading Nosocomial Cause of Mortality in ICU

inventor of the cuff manometer VBM Germany

Ventilator-Associated Pneumonia, commonly known as VAP, is the leading nosocomial cause of mortality in the Intensive Care Unit (1), This alone can have a significant impact on hospital costs, generating an increased cost per incident of between £6000 - £22000 (2), and length of patient stays by as much as 28% (3).

According to an article published in the British Journal of Medical Practitioners (BJMP), a leading cause of VAP is micro-aspiration of bacteria (4).

No cuff seals when insufficiently inflated and cuff pressure can easily deviate outside of the target range due to a number of variables such as pathophysiological and environmental circumstances and body position changes (5/6). Successfully maintaining cuff pressure within the target limits have proved successful with devices that automate monitoring and perform adjustments accordingly.

Supporting best practice and utilising years of expert feedback, global cuff pressure gauge manufacturer and inventor of the cuff manometer VBM, are constantly striving to develop cuff pressure measuring in hospitals and adhere strictly to three main principles when developing new cuff pressure gauges: reliability, accuracy and ease of use.

The success of VBM and its UK distributor Freelance Surgical Limited is largely down to the fact they supply the largest choice of systems, covering analogue, digital and automatic devices (paediatric and adult), in pre-hospital and ICU environments.

Freelance Surgical business development manager Sarah White commented,
        ‘VBM are a global leader in cuff pressure management devices and we’re extremely pleased to have such a close collaboration when it comes to supporting product development and relaying feedback from end users. Having witnessed their research and development facilities first hand I’m confident they’ll remain at the cutting edge’.

1. Kaufmann, al. “Microbes and Infection” Volume 7, Issue 2, Pages 139-324 (February 2005).
2. Nosocomial pneumonia: incidence, morbidity and mortality in the intubated-ventilated patient. Pittett 1994
3. Nosocomial viral ventilator-associated pneumonia in the intensive care unit: a prospective cohort study. Pfr Vincent 2005
4. BJMP “Ventilator Associated Pneumonia” 2009:2(2) 16-19
5. Lizy C, Swinnen W, Labeau S, Poelaert J, Dulhunty J, Vogelaers D, Vandewoude K, Blot S: Cuff pressure of endotracheal tubes after changes in body position in critically ill patients treated with mechanical ventilation. Am J Crit Care. 2014, 23 (1): e1-e8.
6. Sole ML, Su X, Talbert S, Penoyer DA, Kalita S, Jimenez E, Ludy JE, Bennett M: Evaluation of an intervention to maintain endotracheal tube cuff pressure within therapeutic range. Am J Crit Care. 2011, 20 (2): 109-118.


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