The lotrachä system: Its role in the prevention of ventilator-associated pneumonia

Nursing in Critical Care

Volumn 13, Issue 5, 2008, Pages 260-268

  Fletcher, Andrew JW ^a   Ruffell, Alison J ^b   Young, Peter J ^a  

^a QUEEN ELIZABETH HOSPITAL   (United Kingdom)

^b East Suffolk and North Essex NHS Foundation Trust   (United Kingdom)

Author keywords

Evidence based practice; Intensive care; LoTrach ; Practice innovation; Ventilator associated pneumonia

Indexed keywords

ACID ASPIRATION; ADULT; AGED; ENDOTRACHEAL INTUBATION; EQUIPMENT DESIGN; EVIDENCE BASED MEDICINE; FEMALE; HUMAN; INSTRUMENTATION; INTENSIVE CARE UNIT; LAVAGE; MALE; MIDDLE AGED; REVIEW; SUCTION; VENTILATOR ASSOCIATED PNEUMONIA;

ADULT; AGED; EQUIPMENT DESIGN; EVIDENCE-BASED MEDICINE; FEMALE; HUMANS; INTENSIVE CARE UNITS; INTUBATION, INTRATRACHEAL; IRRIGATION; MALE; MIDDLE AGED; PNEUMONIA, VENTILATOR-ASSOCIATED; RESPIRATORY ASPIRATION; SUCTION;

EID: 59249105336     PISSN: 13621017     EISSN: 14785153     Source Type: Journal    
DOI: 10.1111/j.1478-5153.2008.00286.x     Document Type: Article

References (34)

1. Anderson D, Kirkland K, Kaye K, Thacker P II, Kanafani Z, Auten G, Sexton D. (2007). Under resourced hospital infection control and prevention programs: penny wise, pound foolish? Infection Control and Hospital Epidemiology; 28: 767–773.
2. Berra L, De Marchi L, Panigada M, Yu ZX, Baccarelli A, Kolobow T. (2004). Evaluation of continuous aspiration of subglottic secretion in an in vivo study. Critical Care Medicine; 32: 2071–2078.
3. Brennan MT, Bahrani-Mougeot F, Fox PC, Kennedy TP, Hopkins S, Boucher RC, Lockhart PB. (2004). The role of oral microbial colonization in ventilator-associated pneumonia. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics; 98: 665–672.
4. Craven DE. (2006). Preventing ventilator-associated pneumonia in adults: sowing seeds of change. Chest; 130: 251–260.
5. d’Escrivan T, Guery B. (2005). Prevention and treatment of aspiration pneumonia in ICUs. Treatments in Respiratory Medicine; 4: 317–324.
6. de Lassence A, Alberti C, Azoulay E, Le Miere E, Cheval C, Vincent F, Cohen Y, Garrouste-Orgeas M, Adrie C, Troche G, Timsit JF; OUTCOMEREA Study Group. (2002). Impact of unplanned extubation and reintubation after weaning on nosocomial pneumonia risk in the ICU: a prospective multicenter study. Anesthesiology; 97: 148–156.
7. Dezfulian C, Shojania K, Collard HR, Kim HM, Matthay MA, Saint S. (2005). Subglottic secretion drainage for preventing ventilator-associated pneumonia: a meta-analysis. American Journal of Medicine; 118: 11–18.
8. Dragoumanis CK, Vretzakis GI, Papaioannou VE, Didilis VN, Vogiatzaki TD, Pneumatikos IA. (2007). Investigating the failure to aspirate subglottic secretions with the Evac endotracheal tube. Anesthesia and Analgesia; 105: 1083–1085.
9. Evans LA, Young PJ. (2005). The Efficacy of Subglottic Secretion Drainage. Poster Presentation. Buenos Aries: World Congress of Intensive Care.
10. Jaber S, Pigeot J, Fodil R, Maggiore S, Harf A, Isabey D, Brochard L, Louis B. (2004). Long-term effects of different humidification systems on endotracheal tube patency: evaluation by the acoustic reflection method. Anesthesiology; 100: 782–788.
11. Kollef MH. (2004). Prevention of hospital-associated pneumonia and ventilator-associated pneumonia. Critical Care Medicine; 32: 1396–1405.
12. Leverment JN, Pearson FG. (1977). Tracheal damage associated with cuffed tracheostomy tubes. Aspiration of gastric content as a cause of local damage in tracheotomised dogs. Anaesthesia; 32: 603–613.
13. Lorente L, Blot S, Rello J. (2007). Evidence on measures for the prevention of ventilator-associated pneumonia. The European Respiratory Journal; 30: 1193–1207.
14. Metheny NA, Clouse RE, Chang YH, Stewart BJ, Oliver DA, Kollef MH. (2006). Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: frequency, outcomes, and risk factors. Critical Care Medicine; 34: 1007–1015.
15. Mol D, De Villiers G, Claasen A, Joubert G. (2004). Use and care of an endotracheal/tracheostomy tube cuff: are intensive care staff adequately informed? South African Journal of Surgery; 42: 14–16.
16. Nordin U. (1977). The trachea and cuff-induced tracheal injury. An experimental study on causative factors and prevention. Acta Oto-laryngologica Supplementum; 345: 1–71.
17. Pavlin EG, vanNimwegan D, Hornbein TF. (1975). Failure of a high-compliance low-pressure cuff to prevent aspiration. Anesthesiology; 42: 216–219.
18. Reali-Forster C, Kolobow T, Giacomini M, Hayashi T, Horiba K, Ferrans VJ. (1996). New ultrathin-walled endotracheal tube with a novel laryngeal seal design. Long term evaluation in sheep. Anesthesiology; 84: 162–172.
19. Rello J, Sonora R, Jubert P, Artigas A, Rue M, Valles J. (1996). Pneumonia in intubated patients: role of respiratory airway care. American Journal of Respiratory and Critical Care Medicine; 154: 111–115.
20. Ruffell A, Adamcova L. (2008). Ventilator-associated pneumonia: prevention is better than cure. Nursing in Critical Care; 13: 44–53.
21. Safdar N, Dezfulian C, Collard HR, Saint S. (2005). Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Critical Care Medicine; 33: 2184–2193.
22. Seegobin RD, van Hasselt GL. (1984). Endotracheal cuff pressure and tracheal blood flow: endoscopic effects of four large volume cuffs. British Medical Journal; 288: 965–968.
23. Seegobin RD, van Hasselt GL. (1986). Aspiration beyond endotracheal cuffs. Canadian Anaesthetists’ Society Journal; 33: 273–279.
24. Shaw MJ. (2005). Ventilator-associated pneumonia. Current Opinion in Pulmonary Medicine; 11: 236–241.
25. Shorr AF, Wunderink RG. (2003). Dollars and sense in the ICU: the costs of ventilator-associated pneumonia. Critical Care Medicine; 31: 1582–1583.
26. Siobal M, Kallet RH, Kraemer R, Jonson E, Lemons D, Young D, Campbell AR, Schecter W, Tang J. (2001). Tracheal-innomi-nate artery fistula caused by the ETT tip: case report and investigation of a fatal complication of prolonged intubation. Respiratory Care; 46: 1012–1018.
27. Tablan O, Anderson L, Besser R, Bridges C, Hajjer R. (2004). Guidelines for preventing healthcare-associated pneumonia: recommendations of CDC and Healthcare Control Practices Advisory Committee, 2003. MMWR Recommendations and Research; 53: 1–36.
28. Young P. (2007). The LoTrachä. A tracheal tube for Critical Care. The Journal of the Intensive Care Society; 8: 72–75.
29. Young PJ, Basson C, Hamilton D, Ridley SA. (1999). Prevention of tracheal aspiration using the pressure-limited tracheal tube cuff. Anaesthesia; 54: 559–563.
30. Young PJ, Burchett K, Harvey I, Blunt MC. (2000). The prevention of pulmonary aspiration with control of tracheal wall pressure using a silicone cuff. Anaesthesia and Intensive Care; 28: 660–665.
31. Young PJ, Pakeerathan S, Blunt MC, Subramanya S. (2006). A low-volume, low-pressure tracheal tube cuff reduces pulmonary aspiration. Critical Care Medicine; 34: 632–639.
32. Young PJ, Ridley SA, Downward G. (1998). Evaluation of a new design of tracheal tube cuff to prevent leakage of fluid to the lungs. British Journal of Anaesthesia; 80: 796–799.
33. Young PJ, Rollinson M, Downward G, Henderson S. (1997). Leakage of fluid past the tracheal tube cuff in a benchtop model. British Journal of Anaesthesia; 78: 557–562.
34. Young PJ, Young WH. (2003). Inflation of a pressure-limited cuff inside a model trachea. Medical Engineering & Physics; 25: 465–473.