Occurrence of ventilator associated pneumonia using a tracheostomy tube with subglottic secretion drainage

2020 ◽  
Vol 86 (8) ◽  
Author(s):  
Pierpaolo Terragni ◽  
Rosario Urbino ◽  
Franco Mulas ◽  
Laura Pistidda ◽  
Andrea P. Cossu ◽  
...  
Keyword(s):  
Tracheostomy Tube ◽  
Ventilator Associated Pneumonia ◽  
Subglottic Secretion ◽  
Subglottic Secretion Drainage

scholarly journals Ventilator Associated Pneumonia in Patients Using Endotracheal Tube with Intermittent Subglottic Secretion Drainage and Using Endotracheal Tube without Drainage

2021 ◽  
Vol 9 (4) ◽  
pp. 506-511
Author(s):  
  Md. Zubyeer Ali Sheikh ◽  
A. K. Qumrul Huda ◽  
Montosh Kumar Mondal ◽  
Md. Mohiuddin Majed Chy ◽  
Mohammad Mahbubuzzaman ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Ventilator Associated Pneumonia ◽  
Subglottic Secretion ◽  
Subglottic Secretion Drainage

Intermittent Subglottic Secretion Drainage and Ventilator-associated Pneumonia

2011 ◽  
Vol 183 (10) ◽  
pp. 1435-1436 ◽  
Author(s):  
Nicholas J. Taylor ◽  
Georg Auzinger
Keyword(s):  
Ventilator Associated Pneumonia ◽  
Subglottic Secretion ◽  
Subglottic Secretion Drainage

scholarly journals A comparative study on prevention of ventilator associated pneumonia using endotracheal tube with or without intermittent subglottic secretion drainage device

2018 ◽  
Vol 6 (1) ◽  
pp. 7-15
Author(s):  
Mohammad Asaduzzaman ◽  
Mohammad Omar Faruq ◽  
ASM Areef Ahsan ◽  
Kaniz Fatema ◽  
Fatema Ahmed ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Primary Outcome ◽  
Late Onset ◽  
Clinical Suspicion ◽  
Ventilator Associated Pneumonia ◽  
Quantitative Culture ◽  
Subglottic Secretion ◽  
Drainage Device ◽  
Subglottic Secretion Drainage ◽  
Substantial Morbidity

Context: Ventilator-associated pneumonia (VAP) causes substantial morbidity and mortality. The influence of intermittent subglottic secretion drainage (SSD) in preventing VAP has been supported by literature studies.Objective: To find out the effectiveness of subglottic secretion drainage (SSD) on prevention of ventilator associated pneumonia (VAP) using endotracheal tube with subglottic secretion drainage (ETT-SSD).Methodology: This study was carried out in the 10 beded medical-care Intensive Care Unit (ICU) of BIRDEM Hospital, Dhaka over a period of one and half year, enrolling 48 subjects. Patients expected to require mechanical ventilation (MV) for more than >48 hrs were randomly assigned to one of two groups: one was ventilated with ETT-SSD and the other with conventional endotracheal tube (ETT-C).Results: Primary outcome was the overall incidence of VAP based on quantitative culture of distal pulmonary samplings performed after each clinical suspicion. Other outcomes included incidence of early and late onset VAP, duration of MV, duration of ICU stay and in hospital mortality. Microbiologically confirmed VAP occurred in 23 patients, 6 of 24 (25%) in the SSD group and 17 of 24 (70.83%) in the control group.Conclusion: The use of an ETT with intermittent SSD in a patient on MV helps to prevent ventilator associated pneumonia.Bangladesh Crit Care J March 2018; 6(1): 7-15

scholarly journals Continuous Versus Intermittent Subglottic Secretion Drainage to Prevent Ventilator-Associated Pneumonia: A Systematic Review

2017 ◽  
Vol 37 (5) ◽  
pp. e10-e17 ◽  
Author(s):  
Zunjia Wen ◽  
Haiying Zhang ◽  
Jianping Ding ◽  
Zhuo Wang ◽  
Meifen Shen
Keyword(s):  
Systematic Review ◽  
Ventilator Associated Pneumonia ◽  
Subglottic Secretion ◽  
Subglottic Secretion Drainage

Subglottic secretion drainage for preventing ventilator-associated pneumonia

2012 ◽  
Vol 72 (5) ◽  
pp. 1276-1285 ◽  
Author(s):  
Fei Wang ◽  
Lulong Bo ◽  
Lu Tang ◽  
Jingsheng Lou ◽  
Youping Wu ◽  
...  
Keyword(s):  
Ventilator Associated Pneumonia ◽  
Subglottic Secretion ◽  
Subglottic Secretion Drainage

scholarly journals Subglottic secretion drainage for preventing ventilator-associated pneumonia: an overview of systematic reviews and an updated meta-analysis

2020 ◽  
Vol 29 (155) ◽  
pp. 190107 ◽  
Author(s):  
Diana P. Pozuelo-Carrascosa ◽  
Ángel Herráiz-Adillo ◽  
Celia Alvarez-Bueno ◽  
Jose Manuel Añón ◽  
Vicente Martínez-Vizcaíno ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Length Of Stay ◽  
Systematic Reviews ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Ventilator Associated Pneumonia ◽  
Effective Measure ◽  
Overview Of Reviews ◽  
Subglottic Secretion ◽  
Subglottic Secretion Drainage

Although several guidelines recommend subglottic secretion drainage as a strategy for prevention of ventilator-associated pneumonia (VAP), its use is not widespread. With the aim to assess the effectiveness of subglottic secretion drainage for preventing VAP and to improve other outcomes such as mortality, duration of mechanical ventilation and length of stay in the intensive care unit (ICU) or hospital, an electronic search of the Cochrane Library, MEDLINE, Web of Science and Embase was undertaken. Nine systematic reviews with meta-analysis (in the overview of reviews) and 20 randomised controlled trials (in the updated meta-analysis) were included.In the overview of reviews, all systematic reviews with meta-analysis included found a positive effect of subglottic secretion drainage in the reduction of incidence of VAP. In the updated meta-analysis, subglottic secretion drainage significantly reduced VAP incidence (risk ratio (RR) 0.56, 95% CI 0.48–0.63; I2=0%, p=0.841) and mortality (RR 0.88, 95% CI 0.80–0.97; I2=0%, p=0.888).This is the first study that has found a decrease of mortality associated with the use of subglottic secretion drainage. In addition, subglottic secretion drainage is an effective measure to reduce VAP incidence, despite not improving the duration of mechanical ventilation and ICU and/or hospital length of stay.

scholarly journals Influence of subglottic secretion drainage on the microorganisms of ventilator associated pneumonia

Medicine ◽  
2018 ◽  
Vol 97 (28) ◽  
pp. e11223 ◽  
Author(s):  
Xu An Huang ◽  
Yan Ping Du ◽  
Bin Bin Fu ◽  
Liu Xia Li
Keyword(s):  
Ventilator Associated Pneumonia ◽  
Subglottic Secretion ◽  
Subglottic Secretion Drainage

Subglottic secretion drainage for the prevention of ventilator-associated pneumonia: A systematic review and meta-analysis*

2011 ◽  
Vol 39 (8) ◽  
pp. 1985-1991 ◽  
Author(s):  
John Muscedere ◽  
Oleksa Rewa ◽  
Kyle Mckechnie ◽  
Xuran Jiang ◽  
Denny Laporta ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Ventilator Associated Pneumonia ◽  
Subglottic Secretion ◽  
Subglottic Secretion Drainage
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