{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T21:22:52Z","timestamp":1767907372410,"version":"3.49.0"},"reference-count":51,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T00:00:00Z","timestamp":1674086400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Ventilator-associated pneumonia (VAP) is the most common ICU-acquired infection among patients under mechanical ventilation (MV). It may occur in up to 50% of mechanically ventilated patients and is associated with an increased duration of MV, antibiotic consumption, increased morbidity, and mortality. VAP prevention is a multifaceted priority of the intensive care team. The use of specialized artificial airways and other devices can have an impact on the prevention of VAP. However, these devices can also have adverse effects, and aspects of their efficacy in the prevention of VAP are still a matter of debate. This article provides a narrative review of how different airway and respiratory devices may help to reduce the incidence of VAP.<\/jats:p>","DOI":"10.3390\/medicina59020199","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T06:22:10Z","timestamp":1674109330000},"page":"199","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Airway and Respiratory Devices in the Prevention of Ventilator-Associated Pneumonia"],"prefix":"10.3390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0701-3624","authenticated-orcid":false,"given":"Luis","family":"Coelho","sequence":"first","affiliation":[{"name":"NOVA Medical School, New University of Lisbon, 1300 Lisbon, Portugal"},{"name":"Department of Intensive Care, Hospital de S\u00e3o Francisco Xavier, CHLO, 1449 Lisbon, Portugal"},{"name":"Public Health Department, Pulmology Diagnostic Center Dr. Ribeiro Sanches, Regional Health Authority for Lisbon and Tagus Valley, 1700 Lisbon, Portugal"}]},{"given":"Patricia","family":"Moniz","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Hospital de S\u00e3o Francisco Xavier, CHLO, 1449 Lisbon, Portugal"}]},{"given":"Gon\u00e7alo","family":"Guerreiro","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Hospital de S\u00e3o Francisco Xavier, CHLO, 1449 Lisbon, Portugal"}]},{"given":"Pedro","family":"P\u00f3voa","sequence":"additional","affiliation":[{"name":"NOVA Medical School, New University of Lisbon, 1300 Lisbon, Portugal"},{"name":"Department of Intensive Care, Hospital de S\u00e3o Francisco Xavier, CHLO, 1449 Lisbon, Portugal"},{"name":"Center for Clinical Epidemiology and Research Unit of Clinical Epidemiology, OUH Odense University Hospital, 5000 Odense, Denmark"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/S2213-2600(15)00326-4","article-title":"Incidence and prognosis of ventilator-associated tracheobronchitis (TAVeM): A multicentre, prospective, observational study","volume":"3","author":"Povoa","year":"2015","journal-title":"Lancet Respir. 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