Açık Kalp Cerrahisi Sonrası Ventilatörle İlişkili ID Pnömoni: Risk Faktörleri.

Objective: Ventilator-associated pneumonia (VAP) are among common infections encountered in intensive care units. The high mortality rate is important due to prolonged hospital stay and increased hospital costs. In this study, we aimed to determine the risk factors associated with VAP in patients who had undergone open heart surgery. Method: In this study, a total of 599 patients (178 female, and 421 male) who underwent elective open heart surgery were prospectively included in this study. Patients who could not be extubated after 48 hours were divided into two groups. Group 1: Patients with clinical suspicion of VAP and bacterial growth in their endotracheal aspirates (ETA) (n=29) Group 2: Control group (n=570). Results: In univariate analysis, age, Chronic Obstructive Pulmonary Disease (COPD) Pulmonary Hypertension (PHT), history of myocardial infarction (MI), low ejection fraction (EF), prolonged cross- clamp and pump times, inotropic support, presnce of intra-aortic balloon pump (IABP) and use of hemofiltration, atrial fibrillation, reintubation, enteral nutrition with nasogastric tube, reoperation, neurologic dysfunction, steroid use, blood and blood product use, hypoalbuminemia and presence of decubitus ulcer were detected as risk factors for VIP. According to logistic regression analysis duration of intubation longer than 72 hours, reintubation, COPD, previous MI, steroid use, AF neurologic dysfunction were determined as independent risk factors for VAP. Conclusion: In the patient population consisting of patients with cardiac surgery, keeping the invasive mechanical ventilator support as short as possible, reducing the need for reintubation by extubation in optimal time, ensuring complete haemodynamic stability, preoperative preparation of the patient preoperatively, prevention of postoperative haemodynamic instability during surgery, and reduction of VAP. [ABSTRACT FROM AUTHOR]