Fig. 3

Documentation of ventilator-associated pneumonia (VAP) prevention standard adherence. Ad 1., institutional list of accepted indications: respiratory failure with profound unconsciousness with failure of protective reflexes, obstruction or swelling of the upper airway, clinical fatigue, Inadequate work of breathing with deterioration of gas exchange, respiratory insufficiency with deterioration of gas exchange; ad 6., institutional list of accepted contraindications to bed elevation rule: circulatory instability, instable pelvic or spinal injury, craniocerebral and other neuro-intensive medical conditions, modified according to cerebral perfusion pressure; ad 12., only two cases were ventilated for more than 14 days. *Infection prevention standards with ≥ 75% conclusive documentation