Clinical trial shows 39% reduction of ventilator associated pneumonia with Bactiguard's endotracheal tube Bactiguard VAP Bundle Ventilator Associated Pneumonia Ventilator Associated Pneumonia ( VAP) is a lung infection that occurs in patients who are on mechanical ventilation for more than 48 hours. A VAP bundle is a set of Preventing Ventilator Associated Pneumonia ( VAP ) : * Head of the bed elevation : maintain the head of the bed elevated ( 30 40 ) * Daily sedation interruptions and assessment Intubation and VAP: Complex Condition, Bundled Solutions RT Ventilator Associated Pneumonia: Treatment & Prevention Study.com