Do not suction above the cuff

Critical Care Medicine

Volumn 32, Issue 10, 2004, Pages 2160-2162

  Van Saene, H K F ^a   Ashworth, M ^b   Petros, A J ^c   Sanchez, M ^d   De La Cal, M A ^e  

^a UNIVERSITY OF LIVERPOOL   (United Kingdom)

^b ALDER HEY CHILDREN S HOSPITAL   (United Kingdom)

^c GREAT ORMOND STREET HOSPITAL   (United Kingdom)

^d HOSPITAL UNIVERSITARIO PRÍNCIPE DE ASTURIAS   (Spain)

^e HOSPITAL UNIVERSITARIO DE GETAFE   (Spain)

Author keywords

Laryngeal edema; Mechanical ventilation; Subglottic suctioning

Indexed keywords

ACINETOBACTER; ARTIFICIAL VENTILATION; COST EFFECTIVENESS ANALYSIS; CUFF; EDITORIAL; GLOTTIS; HAEMOPHILUS INFLUENZAE; HUMAN; INTENSIVE CARE UNIT; PNEUMONIA; PRIORITY JOURNAL; PSEUDOMONAS AERUGINOSA; SECRETION; STAPHYLOCOCCUS AUREUS; STREPTOCOCCUS PNEUMONIAE; SUCTION; TUBE;

ANIMALS; CRITICAL CARE; HUMANS; INTUBATION, INTRATRACHEAL; PNEUMONIA, ASPIRATION; SALIVA; SHEEP; SUCTION; TRACHEA;

EID: 5644276283     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000142902.24268.CC     Document Type: Editorial

References (15)

1. Mahul P, Auboyer C, Jospe R, et al: Prevention of nosocomial pneumonia in intubated patients: Respective role of mechanical subglottic secretions drainage and stress ulcer prophylaxis. Intensive Care Med 1992; 18: 20-25
2. Valles J, Artigas A, Rello J, et al: Continuous aspiration of subglottic secretions in preventing ventilator-associated pneumonia. Ann Intern Med 1995; 122:179-186
3. Kollef MH, Skubas NJ, Sundt TM: A randomized clinical trial of continuous aspiration of subglottic secretions in cardiac surgery patients. Chest 1999; 116:1339-1346
4. Smulders K, van der Hoeven H, Weers-Pothoff I, et al: A randomised clinical trial of intermittent subglottic secretion drainage in patients receiving mechanical ventilation. Chest 2002; 121:858-862
5. Shorr AF, O'Malley PG: Continuous subglottic suctioning for the prevention of ventilator-associated pneumonia: Potential economic implications. Chest 2001; 119: 228-235
6. Collard HR, Saint S, Matthay MA: Prevention of ventilator-associated pneumonia: An evidence-based systematic review. Ann Intern Med 2003; 138:494-501
7. Tablan OC, Anderson LJ, Besser R, et al: Guidelines for preventing health-care-associated pneumonia, 2003: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep 2004; 53(RR-3):1-36
8. Berra L, De Marchi L, Panigada, M, et al: Evaluation of continuous aspiration of subglottic secretion in an in vivo study. Crit Care Med 2004; 32:2071-2078
9. Girou E, Buu-Hoi A, Stephan F, et al: Airway colonisation in long-term mechanically ventilated patients: Effect of semirecumbent position and continuous subglottic suctioning. Intensive Care Med 2004; 30:225-233
10. Darmon JY, Rauss A, Dreyfuss D, et al: Evaluation of risk factors for laryngeal edema after tracheal extubation in adults and its prevention by dexamethasone: A placebo-controlled, double-blind, multicenter study. Anesthesiology 1992; 77:245-251
11. van Saene HKF, de la Cal MA, Petros AJ: To suction or not to suction, above the cuff. Crit Care Med 2000; 28:596-597
12. Morar P, Singh V, Makura Z, et al: Differing pathways of lower airway colonization and infection according to mode of ventilation: Endotracheal vs tracheostomy. Arch Otolaryngol Head Neck Surg 2002; 128:1061-1066
13. Sirvent JM, Torres T, El-Biary M, et al: Protective effect of intravenously administered cefuroxime against nosocomial pneumonia in patients with structural coma. Am J Respir Crit Care Med 1997; 155:1729-1734
14. Sanchez M, Alvarez-Lerma F, Cerda E, et al: Continuous aspiration of subglottic secretions (CASS) compared to a short course of ceftriaxone (SCC) for the prevention of early onset pneumonia (EOP) in intubated patients: A randomized multicenter trial. Presented at the 41st Annual ICAAC Meeting, Chicago, 2001, p 433
15. Fagon JY, Chastre J, Wolff M, et al: Invasive and non-invasive strategies for management of suspected ventilator-associated pneumonia: A randomised trial. Ann Intern Med 2000; 132:621-630