There is a story of an intensive care unit (ICU) at Dominican Hospital in Santa Cruz Country, California. Dominican, a
379-bed community hospital, is part of the 41-hospital Catholic Healthcare West system. "We used to replace
ventilator circuit for incubated patients daily because we thought this helped to prevent pneumonia," explained Lee
Vanderpool, vice president. ""But the evidence shows that the more you interfere with that device, the more often
you risk introducing infection. It turns out it is often better to leave it alone until it begins to become cloudy, or
'gunky,' as the no clinicians say." The hospital staff learned an important lesson from this experience that: