메뉴 건너뛰기




Volumn 37, Issue 1, 2009, Pages 32-38

Saline instillation before tracheal suctioning decreases the incidence of ventilator-associated pneumonia

Author keywords

Pneumonia; Prevention; Respiratory therapy; Ventilator associated pneumonia

Indexed keywords

ANTIBIOTIC AGENT; ANTIINFECTIVE AGENT; CORTICOSTEROID; HISTAMINE H2 RECEPTOR ANTAGONIST; PROTON PUMP INHIBITOR; SODIUM CHLORIDE; ISOTONIC SOLUTION;

EID: 59649103968     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0b013e3181930026     Document Type: Article
Times cited : (86)

References (46)
  • 1
    • 0032531113 scopus 로고    scopus 로고
    • Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients
    • Cook DJ, Walter SD, Cook RJ, et al: Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients. Ann Intern Med 1998; 129:433-440
    • (1998) Ann Intern Med , vol.129 , pp. 433-440
    • Cook, D.J.1    Walter, S.D.2    Cook, R.J.3
  • 2
    • 26444480583 scopus 로고    scopus 로고
    • Clinical and economic consequences of ventilator-associated pneumonia: A systematic review
    • Safdar N, Dezfulian C, Collard HR, et al: Clinical and economic consequences of ventilator-associated pneumonia: A systematic review. Crit Care Med 2005; 33:2184-2193
    • (2005) Crit Care Med , vol.33 , pp. 2184-2193
    • Safdar, N.1    Dezfulian, C.2    Collard, H.R.3
  • 3
    • 0029148091 scopus 로고
    • The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee
    • Vincent JL, Bihari DJ, Suter PM, et al: The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee. JAMA 1995; 274:639-644
    • (1995) JAMA , vol.274 , pp. 639-644
    • Vincent, J.L.1    Bihari, D.J.2    Suter, P.M.3
  • 4
    • 0028833778 scopus 로고
    • Continuous aspiration of subglottic secretions in preventing ventilator-associated pneumonia
    • 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
    • (1995) Ann Intern Med , vol.122 , pp. 179-186
    • Valles, J.1    Artigas, A.2    Rello, J.3
  • 5
    • 27244435000 scopus 로고    scopus 로고
    • The ventilator circuit and ventilator-associated pneumonia
    • discussion 785-777
    • Branson RD: The ventilator circuit and ventilator-associated pneumonia. Respir Care 2005; 50:774-785; discussion 785-777
    • (2005) Respir Care , vol.50 , pp. 774-785
    • Branson, R.D.1
  • 6
    • 0029090682 scopus 로고
    • Mechanical ventilation with or without 7-day circuit changes. A randomized controlled trial
    • Kollef MH, Shapiro SD, Fraser VJ, et al: Mechanical ventilation with or without 7-day circuit changes. A randomized controlled trial. Ann Intern Med 1995; 123:168-174
    • (1995) Ann Intern Med , vol.123 , pp. 168-174
    • Kollef, M.H.1    Shapiro, S.D.2    Fraser, V.J.3
  • 7
    • 0021275019 scopus 로고
    • Contaminated condensate in mechanical ventilator circuits. A risk factor for nosocomial pneumonia?
    • Craven DE, Goularte TA, Make BJ: Contaminated condensate in mechanical ventilator circuits. A risk factor for nosocomial pneumonia? Am Rev Respir Dis 1984; 129:625-628
    • (1984) Am Rev Respir Dis , vol.129 , pp. 625-628
    • Craven, D.E.1    Goularte, T.A.2    Make, B.J.3
  • 8
    • 0027598772 scopus 로고
    • Endotracheal suctioning of mechanically ventilated adults and children with artificial airways. American Association for Respiratory Care
    • AARC clinical practice guideline
    • AARC clinical practice guideline. Endotracheal suctioning of mechanically ventilated adults and children with artificial airways. American Association for Respiratory Care. Respir Care 1993; 38:500-504
    • (1993) Respir Care , vol.38 , pp. 500-504
  • 9
    • 0038824724 scopus 로고    scopus 로고
    • A multisite survey of suctioning techniques and airway management practices
    • quiz 231-222
    • Sole ML, Byers JF, Ludy JE, et al: A multisite survey of suctioning techniques and airway management practices. Am J Crit Care 2003; 12:220-230; quiz 231-222
    • (2003) Am J Crit Care , vol.12 , pp. 220-230
    • Sole, M.L.1    Byers, J.F.2    Ludy, J.E.3
  • 10
    • 0029339979 scopus 로고
    • Normal saline instillation before suctioning: Helpful or harmful? A review of the literature
    • Raymond SJ: Normal saline instillation before suctioning: helpful or harmful? A review of the literature. Am J Crit Care 1995; 4:267-271
    • (1995) Am J Crit Care , vol.4 , pp. 267-271
    • Raymond, S.J.1
  • 11
    • 0028541417 scopus 로고
    • Endotracheal saline and suction catheters: Sources of lower airway contamination
    • Hagler DA, Traver GA: Endotracheal saline and suction catheters: Sources of lower airway contamination. Am J Crit Care 1994; 3:444-447
    • (1994) Am J Crit Care , vol.3 , pp. 444-447
    • Hagler, D.A.1    Traver, G.A.2
  • 13
    • 0015644519 scopus 로고
    • Minimizing the harmful effects of mechanical aspiration
    • Demers RR, Saklad M: Minimizing the harmful effects of mechanical aspiration. Heart Lung 1973; 2:542-545
    • (1973) Heart Lung , vol.2 , pp. 542-545
    • Demers, R.R.1    Saklad, M.2
  • 14
    • 0004946462 scopus 로고    scopus 로고
    • Implications of endotracheal tube biofilm for ventilator-associated pneumonia
    • Adair CG, Gorman SP, Feron BM, et al: Implications of endotracheal tube biofilm for ventilator-associated pneumonia. Intensive Care Med 1999; 25:1072-1076
    • (1999) Intensive Care Med , vol.25 , pp. 1072-1076
    • Adair, C.G.1    Gorman, S.P.2    Feron, B.M.3
  • 15
    • 0024392172 scopus 로고
    • Tracheal tube biofilm as a source of bacterial colonization of the lung
    • Inglis TJ, Millar MR, Jones JG, et al: Tracheal tube biofilm as a source of bacterial colonization of the lung. J Clin Microbiol 1989; 27:2014-2018
    • (1989) J Clin Microbiol , vol.27 , pp. 2014-2018
    • Inglis, T.J.1    Millar, M.R.2    Jones, J.G.3
  • 16
    • 0022613271 scopus 로고
    • Nosocomial pulmonary infection: Possible etiologic significance of bacterial adhesion to endotracheal tubes
    • Sottile FD, Marrie TJ, Prough DS, et al: Nosocomial pulmonary infection: Possible etiologic significance of bacterial adhesion to endotracheal tubes. Crit Care Med 1986; 14:265-270
    • (1986) Crit Care Med , vol.14 , pp. 265-270
    • Sottile, F.D.1    Marrie, T.J.2    Prough, D.S.3
  • 17
    • 0030855197 scopus 로고    scopus 로고
    • Mechanical ventilation with or without daily changes of in-line suction catheters
    • Kollef MH, Prentice D, Shapiro SD, et al: Mechanical ventilation with or without daily changes of in-line suction catheters. Am J Respir Crit Care Med 1997; 156:466-472
    • (1997) Am J Respir Crit Care Med , vol.156 , pp. 466-472
    • Kollef, M.H.1    Prentice, D.2    Shapiro, S.D.3
  • 18
    • 0028968722 scopus 로고
    • Mechanical ventilation with heated humidifiers or heat and moisture exchangers: Effects on patient colonization and incidence of nosocomial pneumonia
    • Dreyfuss D, Djedaini K, Gros I, et al: Mechanical ventilation with heated humidifiers or heat and moisture exchangers: Effects on patient colonization and incidence of nosocomial pneumonia. Am J Respir Crit Care Med 1995; 151:986-992
    • (1995) Am J Respir Crit Care Med , vol.151 , pp. 986-992
    • Dreyfuss, D.1    Djedaini, K.2    Gros, I.3
  • 19
    • 0037986378 scopus 로고    scopus 로고
    • Mechanical effects of airway humidification devices in difficult to wean patients
    • Girault C, Breton L, Richard JC, et al: Mechanical effects of airway humidification devices in difficult to wean patients. Crit Care Med 2003; 31:1306-1311
    • (2003) Crit Care Med , vol.31 , pp. 1306-1311
    • Girault, C.1    Breton, L.2    Richard, J.C.3
  • 20
    • 1542394258 scopus 로고    scopus 로고
    • Care of the ventilator circuit and its relation to ventilator-associated pneumonia
    • Hess DR, Kallstrom TJ, Mottram CD, et al: Care of the ventilator circuit and its relation to ventilator-associated pneumonia. Respir Care 2003; 48:869-879
    • (2003) Respir Care , vol.48 , pp. 869-879
    • Hess, D.R.1    Kallstrom, T.J.2    Mottram, C.D.3
  • 21
    • 0032851762 scopus 로고    scopus 로고
    • Clinical diagnosis of ventilator associated pneumonia revisited: Comparative validation using immediate post-mortem lung biopsies
    • Fabregas N, Ewig S, Torres A, et al: Clinical diagnosis of ventilator associated pneumonia revisited: Comparative validation using immediate post-mortem lung biopsies. Thorax 1999; 54:867-873
    • (1999) Thorax , vol.54 , pp. 867-873
    • Fabregas, N.1    Ewig, S.2    Torres, A.3
  • 22
    • 0029153763 scopus 로고
    • Evaluation of bronchoscopic techniques for the diagnosis of nosocomial pneumonia
    • Chastre J, Fagon JY, Bornet-Lecso M, et al: Evaluation of bronchoscopic techniques for the diagnosis of nosocomial pneumonia. Am J Respir Crit Care Med 1995; 152:231-240
    • (1995) Am J Respir Crit Care Med , vol.152 , pp. 231-240
    • Chastre, J.1    Fagon, J.Y.2    Bornet-Lecso, M.3
  • 23
    • 0035038595 scopus 로고    scopus 로고
    • Ventilator-associated pneumonia or not? Contemporary diagnosis
    • Mayhall CG: Ventilator-associated pneumonia or not? Contemporary diagnosis. Emerg Infect Dis 2001; 7:200-204
    • (2001) Emerg Infect Dis , vol.7 , pp. 200-204
    • Mayhall, C.G.1
  • 24
    • 0036213640 scopus 로고    scopus 로고
    • Recent advances in the epidemiology, prevention, diagnosis, and treatment of fungal pneumonia
    • Pound MW, Drew RH, Perfect JR: Recent advances in the epidemiology, prevention, diagnosis, and treatment of fungal pneumonia. Curr Opin Infect Dis 2002; 15:183-194
    • (2002) Curr Opin Infect Dis , vol.15 , pp. 183-194
    • Pound, M.W.1    Drew, R.H.2    Perfect, J.R.3
  • 25
    • 0030843611 scopus 로고    scopus 로고
    • Significance of the isolation of Candida species from respiratory samples in critically ill, non-neutropenic patients. An immediate postmortem histologic study
    • el-Ebiary M, Torres A, Fabregas N, et al: Significance of the isolation of Candida species from respiratory samples in critically ill, non-neutropenic patients. An immediate postmortem histologic study. Am J Respir Crit Care Med 1997; 156:583-590
    • (1997) Am J Respir Crit Care Med , vol.156 , pp. 583-590
    • el-Ebiary, M.1    Torres, A.2    Fabregas, N.3
  • 26
    • 0031846141 scopus 로고    scopus 로고
    • The role of Candida sp isolated from bronchoscopic samples in nonneutropenic patients
    • Rello J, Esandi ME, Diaz E, et al: The role of Candida sp isolated from bronchoscopic samples in nonneutropenic patients. Chest 1998; 114:146-149
    • (1998) Chest , vol.114 , pp. 146-149
    • Rello, J.1    Esandi, M.E.2    Diaz, E.3
  • 27
    • 0032488121 scopus 로고    scopus 로고
    • Survival probabilities (the Kaplan-Meier method)
    • Bland JM, Altaian DG: Survival probabilities (the Kaplan-Meier method). BMJ 1998; 317: 1572
    • (1998) BMJ , vol.317 , pp. 1572
    • Bland, J.M.1    Altaian, D.G.2
  • 28
    • 2342578112 scopus 로고    scopus 로고
    • The logrank test
    • Bland JM, Altaian DG: The logrank test. BMJ 2004; 328:1073
    • (2004) BMJ , vol.328 , pp. 1073
    • Bland, J.M.1    Altaian, D.G.2
  • 30
    • 0029116426 scopus 로고
    • Pattern of tracheal colonization during mechanical ventilation
    • de Latorre FJ, Pont T, Ferrer A, et al: Pattern of tracheal colonization during mechanical ventilation. Am J Respir Crit Care Med 1995; 152:1028-1033
    • (1995) Am J Respir Crit Care Med , vol.152 , pp. 1028-1033
    • de Latorre, F.J.1    Pont, T.2    Ferrer, A.3
  • 31
    • 0032417007 scopus 로고    scopus 로고
    • Epidemiology of ventilator-acquired pneumonia based on protected bronchoscopic sampling
    • George DL, Falk PS, Wunderink RG, et al: Epidemiology of ventilator-acquired pneumonia based on protected bronchoscopic sampling. Am J Respir Crit Care Med 1998; 158:1839-1847
    • (1998) Am J Respir Crit Care Med , vol.158 , pp. 1839-1847
    • George, D.L.1    Falk, P.S.2    Wunderink, R.G.3
  • 32
    • 0027172501 scopus 로고
    • Gastric and pharyngeal flora in nosocomial pneumonia acquired during mechanical ventilation
    • Torres A, el-Ebiary M, Gonzalez J, et al: Gastric and pharyngeal flora in nosocomial pneumonia acquired during mechanical ventilation. Am Rev Respir Dis 1993; 148:352-357
    • (1993) Am Rev Respir Dis , vol.148 , pp. 352-357
    • Torres, A.1    el-Ebiary, M.2    Gonzalez, J.3
  • 33
    • 0025168040 scopus 로고
    • The effects of bolus normal-saline instillation in conjunction with endotracheal suctioning
    • Gray JE, MacIntyre NR, Kronenberger WG: The effects of bolus normal-saline instillation in conjunction with endotracheal suctioning. Respir Care 1990; 35:785-790
    • (1990) Respir Care , vol.35 , pp. 785-790
    • Gray, J.E.1    MacIntyre, N.R.2    Kronenberger, W.G.3
  • 34
    • 84965431803 scopus 로고
    • The experience of being mechanically ventilated
    • Jablonski RS: The experience of being mechanically ventilated. Qual Health Res 1994; 4:186-207
    • (1994) Qual Health Res , vol.4 , pp. 186-207
    • Jablonski, R.S.1
  • 35
    • 0031608675 scopus 로고    scopus 로고
    • Chest roentgenology in the intensive care unit: An overview
    • Maffessanti M, Berlot G, Bortolotto P: Chest roentgenology in the intensive care unit: an overview. Eur Radiol 1998; 8:69-78
    • (1998) Eur Radiol , vol.8 , pp. 69-78
    • Maffessanti, M.1    Berlot, G.2    Bortolotto, P.3
  • 36
    • 0035544306 scopus 로고    scopus 로고
    • Level of dyspnoea experienced in mechanically ventilated adults with and without saline instillation prior to endotracheal suctioning
    • O'Neal PV, Grap MJ, Thompson C, et al: Level of dyspnoea experienced in mechanically ventilated adults with and without saline instillation prior to endotracheal suctioning. Intensive Crit Care Nurs 2001; 17:356-363
    • (2001) Intensive Crit Care Nurs , vol.17 , pp. 356-363
    • O'Neal, P.V.1    Grap, M.J.2    Thompson, C.3
  • 37
    • 0033109210 scopus 로고    scopus 로고
    • Normal saline instillation with endotracheal suctioning: Primum non noc-ere (first do no harm)
    • Blackwood B: Normal saline instillation with endotracheal suctioning: Primum non noc-ere (first do no harm). J Adv Nurs 1999; 29:928-934
    • (1999) J Adv Nurs , vol.29 , pp. 928-934
    • Blackwood, B.1
  • 38
  • 39
    • 0027638139 scopus 로고
    • The effect of saline lavage prior to suctioning
    • Ackerman MH: The effect of saline lavage prior to suctioning. Am J Crit Care 1993; 2:326-330
    • (1993) Am J Crit Care , vol.2 , pp. 326-330
    • Ackerman, M.H.1
  • 40
    • 0346035000 scopus 로고    scopus 로고
    • Outcome analysis of 189 consecutive cancer patients referred to the intensive care unit as emergencies during a 2-year period
    • Maschmeyer G, Bertschat FL, Moesta KT, et al: Outcome analysis of 189 consecutive cancer patients referred to the intensive care unit as emergencies during a 2-year period. Eur J Cancer 2003; 39:783-792
    • (2003) Eur J Cancer , vol.39 , pp. 783-792
    • Maschmeyer, G.1    Bertschat, F.L.2    Moesta, K.T.3
  • 41
    • 14944342735 scopus 로고    scopus 로고
    • Characteristics and outcomes of cancer patients requiring mechanical ventilatory support for >24 hrs
    • Soares M, Salluh JI, Spector N, et al: Characteristics and outcomes of cancer patients requiring mechanical ventilatory support for >24 hrs. Crit Care Med 2005; 33: 520-526
    • (2005) Crit Care Med , vol.33 , pp. 520-526
    • Soares, M.1    Salluh, J.I.2    Spector, N.3
  • 42
    • 0033233472 scopus 로고    scopus 로고
    • Outcomes of critically ill cancer patients in a university hospital setting
    • Kress JP, Christenson J, Pohlman AS, et al: Outcomes of critically ill cancer patients in a university hospital setting. Am J Respir Crit Care Med 1999; 160:1957-1961
    • (1999) Am J Respir Crit Care Med , vol.160 , pp. 1957-1961
    • Kress, J.P.1    Christenson, J.2    Pohlman, A.S.3
  • 44
    • 0036924301 scopus 로고    scopus 로고
    • Epidemiology and outcomes of ventilator-associated pneumonia in a large US database
    • Rello J, Ollendorf DA, Oster G, et al: Epidemiology and outcomes of ventilator-associated pneumonia in a large US database. Chest 2002; 122:2115-2121
    • (2002) Chest , vol.122 , pp. 2115-2121
    • Rello, J.1    Ollendorf, D.A.2    Oster, G.3
  • 45
    • 27244449960 scopus 로고    scopus 로고
    • The microbiology of ventilator-associated pneumonia
    • discussion 763-745
    • Park DR: The microbiology of ventilator-associated pneumonia. Respir Care 2005; 50: 742-763; discussion 763-745
    • (2005) Respir Care , vol.50 , pp. 742-763
    • Park, D.R.1
  • 46
    • 31144467862 scopus 로고    scopus 로고
    • Nosocomial pneumonia, including ventilator-associated pneumonia
    • Wunderink RG: Nosocomial pneumonia, including ventilator-associated pneumonia. Proc Am Thorac Soc 2005; 2:440-444
    • (2005) Proc Am Thorac Soc , vol.2 , pp. 440-444
    • Wunderink, R.G.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.