Spalding M Chance, Cripps Michael W, Minshall Christian T
Department of Surgery, Grant Medical Center, 111 South Grant Avenue, Columbus, OH 43215, USA; Department of Surgery, Ohio University College of Osteopathic Medicine, 35 West Green Drive, Athens, OH 45701, USA.
Department of Surgery, UT Southwestern, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
Crit Care Clin. 2017 Apr;33(2):277-292. doi: 10.1016/j.ccc.2016.12.009. Epub 2017 Jan 18.
The National Healthcare Safety Network's new classification characterizes all adverse ventilator-associated events (VAE) into a tiered system designed to shift the focus away from ventilator-associated pneumonia as the only important cause or morbidity in ventilated patients. This new surveillance definition of VAE eliminates subjectivity by using clearly defined criteria and facilitates the automated collection of data. This allows for easier comparison and analysis of factors affecting rates of VAE. Numerous studies have been published that demonstrate its clinical application. This article presents the VAE criteria, contrasts the difference from the previous ventilator-associated pneumonia definition, and discusses its implementation over the past 5 years.
国家医疗安全网络的新分类将所有呼吸机相关不良事件（VAE）纳入一个分级系统，该系统旨在将关注点从呼吸机相关性肺炎作为机械通气患者唯一重要病因或发病情况上转移开来。VAE的这一新监测定义通过使用明确界定的标准消除了主观性，并便于自动收集数据。这使得对影响VAE发生率的因素进行更轻松的比较和分析成为可能。已经发表了大量研究来证明其临床应用。本文介绍了VAE标准，对比了其与先前呼吸机相关性肺炎定义的差异，并讨论了其在过去5年中的实施情况。
