The incidence of ventilator-associated pneumonia using the PneuX System with or without elective endotracheal tube exchange: A pilot studyReportar como inadecuado




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BMC Research Notes

, 4:92

First Online: 30 March 2011Received: 03 November 2010Accepted: 30 March 2011DOI: 10.1186-1756-0500-4-92

Cite this article as: Doyle, A., Fletcher, A., Carter, J. et al. BMC Res Notes 2011 4: 92. doi:10.1186-1756-0500-4-92

Abstract

BackgroundThe PneuX System is a novel endotracheal tube and tracheal seal monitor, which has been designed to minimise the aspiration of oropharyngeal secretions. We aimed to determine the incidence of ventilator-associated pneumonia VAP in patients who were intubated with the PneuX System and to establish whether intermittent subglottic secretion drainage could be performed reliably and safely using the PneuX System.

FindingsIn this retrospective observational study, data was collected from 53 sequential patients. Nine 17% patients were initially intubated with the PneuX System and 44 83% patients underwent elective exchange to the PneuX System. There were no episodes of VAP while the PneuX System was in situ. On an intention to treat basis, the incidence VAP was 1.8%. There were no complications from, or failure of, subglottic secretion drainage during the study.

ConclusionsOur study demonstrates that a low incidence of VAP is possible using the PneuX System. Our study also demonstrates that elective exchange and intermittent subglottic secretion drainage can be performed reliably and safely using the PneuX System.

List of abbreviationsVAPVentilator-associated pneumonia

ICUIntensive care unit. SSD: Subglottic secretion drainage

ETTEndotracheal tube

LVLPLow volume low pressure

Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-4-92 contains supplementary material, which is available to authorized users.

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Autor: Alex Doyle - Andrew Fletcher - Joseph Carter - Mark Blunt - Peter Young

Fuente: https://link.springer.com/







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