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Q In critically ill patients on mechanical ventilation, is a semirecumbent position of 45° feasible and effective for prevention of ventilator associated pneumonia (VAP)?
randomised controlled trial.
blinded (outcome assessors).
Follow up period:
median 5–6 days (range 0–64 d).
4 intensive care units (ICUs) in 3 university hospitals in the Netherlands.
221 adults (mean age 64 y, 63% men) who were intubated within 24 hours of ICU admission and had an expected duration of ventilation ⩾48 hours.
semirecumbent position (backrest 45° from horizontal) (n = 112) or supine position (10°) (n = 109) for the duration of ventilation. A nurse …
For correspondence: Dr M J Bonten, University Medical Center Utrecht, Utrecht, The Netherlands.
Source of funding: Praevention Foundation.
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