Increasing positive end expiratory pressure at extubation reduces subglottic secretion aspiration in a bench-top model

Nursing in Critical Care

Volumn 15, Issue 5, 2010, Pages 257-261

  Hodd, Jack ^a   Doyle, Alex ^a   Carter, Joseph ^a   Albarran, John ^b   Young, Peter ^a  

^a Queen Elizabeth Hospital King's Lynn NHS Trust   (United Kingdom)

^b UNIVERSITY OF THE WEST OF ENGLAND   (United Kingdom)

Author keywords

Aspiration; Extubation; Intubation; Patient safety; PEEP; Positive end expiratory pressure; Tracheal; Ventilation; Ventilator bundle

Indexed keywords

ARTICLE; ASPIRATION PNEUMONIA; AUDIOVISUAL EQUIPMENT; ENDOTRACHEAL INTUBATION; EQUIPMENT DESIGN; HUMAN; INJURY; METHODOLOGY; POSITIVE END EXPIRATORY PRESSURE; SECRETIONS; SUCTION; TRACHEA;

BODILY SECRETIONS; EQUIPMENT DESIGN; HUMANS; INTUBATION, INTRATRACHEAL; MODELS, ANATOMIC; PNEUMONIA, ASPIRATION; POSITIVE-PRESSURE RESPIRATION; SUCTION; TRACHEA;

EID: 79952025971     PISSN: 13621017     EISSN: 14785153     Source Type: Journal    
DOI: 10.1111/j.1478-5153.2010.00422.x     Document Type: Article

References (10)

1. Amato MBP, Barbas CSV, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, Kairalla RA, Deheinzelin D, Munoz C, Oliveira R, Takagaki TY, Carvalho CRR. (1998). Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. New England Journal of Medicine; 338: 347–354.
2. Asai T, Shingu K. (2001). Leakage of fluid around high-volume, low-pressure cuffs apparatus. A comparison of four tracheal tubes. Anaesthesia; 56: 38–42.
3. Epstein SK. (2004). Extubation failure: an outcome to be avoided. Critical Care; 8: 310–312.
4. Estes RJ, Meduri GU. (1995). The pathogenesis of ventilator-associated pneumonia: 1. Mechanisms of bacterial transcol-onization and airway inoculation Intensive Care Medicine; 21: 365–383.
5. Fan E, Wilcox ME, Brower RG, Stewart TE, Mehta S, Lapinsky SE, Meade MO, Ferguson ND. (2008). Recruitment manoeuvres for acute lung injury: a systematic review. American Journal of Respiratory Critical Care Medicine; 178: 1156–1163.
6. Gentile MA, Siobal M. (2010). Are specialised endotracheal tubes and heat and moisture exchangers cost effective in preventing ventilator associated pneumonia. Respiratory Care; 55: 184–196.
7. Hussain T, Roy U, Young PJ. (2003). The incidence and imme-diate respiratory consequences of pulmonary aspiration of enteral feed as detected using a modified glucose oxidase test. Anaesthesia and Intensive Care; 31: 272–276.
8. Lucangelo U, Zin WA, Antonaglia V, Petrucci L, Viviani M, Buscema G, Borelli M, Berlot G. (2008). Effect of positive expi-ratory pressure and type of tracheal cuff on the incidence of aspiration in mechanically ventilated patients in an intensive care unit. Critical Care Medicine; 36: 409–413.
9. Rassam S, SandbyThomas M, Vaughan Hall JE. (2005). Airway management before, during and after extubation: a survey of practice in the United Kingdom and Ireland. Anaesthesia; 60: 995–1001.
10. 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.