Frequency of ventilator circuit changes to prevent ventilator-associated pneumonia in neonates and children-A systematic review and meta-analysis.
Thangaraj AbiramalathaViraraghavan Vadakkencherry RamaswamySivam ThanigainathanAbdul Kareem PullattayilRichard KirubakaranPublished in: Pediatric pulmonology (2021)
There is no evidence to suggest that ventilator circuits can be safely left unchanged until visibly soiled in neonates and children. Extending circuit changes interval to "once weekly" may not increase VAP rate (CoE-very low) and reduces healthcare costs.