Annals of internal medicine
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Randomized Controlled Trial Multicenter Study Clinical Trial
Invasive and noninvasive strategies for management of suspected ventilator-associated pneumonia. A randomized trial.
Optimal management of patients who are clinically suspected of having ventilator-associated pneumonia remains open to debate. ⋯ Compared with a noninvasive management strategy, an invasive management strategy was significantly associated with fewer deaths at 14 days, earlier attenuation of organ dysfunction, and less antibiotic use in patients suspected of having ventilator-associated pneumonia.