Ventilator Associated Pneumonia (VAP): Why is it so difficult to define? In real world practice: The diagnosis of VAP remains more an exercise in clinical integration than strict adherence to criteria. Dr. Abhishek Shukla discussed the concept of Ventilator Associated Pneumonia (VAP), a serious infection that can occur in patients who are on mechanical ventilation. He explained that ventilators are vital in preventing hypoxic Ventilator Associated Events: What They Are and What They Are Not Michael Klompas, 2019 Diagnosis of ventilator associated pneumonia PDF