Potential strategies to prevent VAP. Download Scientific Diagram 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 VAP = Ventilator Associated Pneumonia Think it in any ventilated patient with: Fever Purulent secretions New infiltrate on CXR Worsening oxygenation Prevention Head elevation Hospital Acquired and Ventilator Associated Pneumonia Oncohema Key