Pneumonia in the Intensive Care Unit: Can Critical Care Technology Help?

  • M. S. Niederman
Part of the Yearbook of Intensive Care and Emergency Medicine book series (YEARBOOK, volume 1992)


The critical care physician commonly encounters pneumonia in the environment of the intensive care unit (ICU). Serious community-acquired pneumonia is still associated with a mortality rate of at least 20%, and up to 60% of such patients require mechanical ventilation [1]. Up to 10% of pneumonia episodes, requiring intensive care, can lead to ARDS, and these patients have a mortality rate that approaches 60% [2]. Pneumonia is the second most common infection to develop in patients who are already hospitalized, and is the nosocomial infection most likely to lead to death [3]. Unfortunately, there is little convincing evidence that current critical care technology has improved the survival rate for this infection [4], and there is the very real concern that modern medical interventions have propagated the problem of nosocomial pneumonia, rather than eliminating it. Intensivists are engaged in many controversies surrounding the diagnosis, therapy and prevention of lung infection, and it is quite possible that from our current understanding of pneumonia pathogenesis and epidemiology, some of these issues can be resolved.


Lower Respiratory Tract Enteral Feeding Nosocomial Pneumonia Adult Respiratory Distress Syndrome Tracheobronchial Tree 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag Berlin Heidelberg 1992

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  • M. S. Niederman

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