Ventilator-associated pneumonia prevention: Past, present, perspective.

The prevention of ventilator-associated pneumonia (VAP) is a key part of managing critically ill patients who require invasive mechanical ventilation. Despite a reduction in exposure to mechanical ventilation, the incidence of VAP remains high, significantly impacting outcomes. In this brief review, at the light of recent meta-analyses, we examine the evolution of VAP prevention over the past few decades and attempt to predict future developments.