Research suggests nurses may be unaware of VAP guidelines Criteria used for the diagnosis of VAP. Adapted from the European Download Scientific Diagram Amikacin for Ventilator Associated Pneumonia (AMIKINHAL trial) 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