Friday 11 January 2013

Ventilator acquired pneumonia

Given that this man is pyrexial, with chest signs on the right hand side that match his X-ray picture, the most likely diagnosis is ventilator acquired pneumonia. It occurs because of contamination of the respiratory tract due to aspiration of oropharyngeal secretions which isn't prevented by a cuffed ET tube. Diagnosis is clinical and is supported by bronchial washings. Initial antibiotic therapy should cover anaerobes, MRSA, pseudomonas and acinetobacter until definitive culture and sensitivity testing is available.

3 comments:

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  2. one are the days when backpacks were for school kids only. Nowadays, backpacks have become the ultimate choice for everyone. Purses, clutches, and other fanny packs are great, but fashion backpacks have something enticing that people tend to buy more. Besides, these doubles-strapped small fashion backpacks have become the gold standard for most people mainly because people are always on the move and have many things to carry. Hence, a backpack becomes a savior for both men and women.
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  3. Read my testimony.
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