PROPHY VAP: Ceftriaxone to prevent early ventilator associated pneumonia The Bottom Line Preventing Ventilator Associated Pneumonia ( VAP ) : * Head of the bed elevation : maintain the head of the bed elevated ( 30 40 ) * Daily sedation interruptions and assessment USA Made Vapes The Challenge. The Evidence. The Solution. Ventilator Associated Pneumonia (VAP) remains a serious clinical issue in UK ICUs with NHS England data estimating 3,0006,000 deaths per year and treatment costs of 10,00020,000