Subglottic secretion drainage for the prevention of ventilator-associated pneumonia: A systematic review and meta-analysis

Critical Care Medicine

Volumn 39, Issue 8, 2011, Pages 1985-1991

  Muscedere, John ^a,b,c   Rewa, Oleksa ^a   McKechnie, Kyle ^b   Jiang, Xuran ^c   Laporta, Denny ^d   Heyland, Daren K ^a,b,c  

^a QUEEN S UNIVERSITY   (Canada)

^b Critical Care Program   (United States)

^c KINGSTON GENERAL HOSPITAL   (Canada)

^d MCGILL UNIVERSITY   (Canada)

Author keywords

meta analysis; prevention; Subglottic secretion drainage; ventilator associated pneumonia

Indexed keywords

ARTIFICIAL VENTILATION; COCHRANE LIBRARY; EMBASE; ENDOTRACHEAL TUBE; HUMAN; INTERMETHOD COMPARISON; LENGTH OF STAY; MEDLINE; META ANALYSIS; MORTALITY; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; RISK REDUCTION; SUBGLOTTIC SECRETION DRAINAGE; SURGICAL DRAINAGE; SYSTEMATIC REVIEW; TREATMENT DURATION; VENTILATOR ASSOCIATED PNEUMONIA;

EID: 79961026524     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0b013e318218a4d9     Document Type: Review

References (43)

1. Vincent JL, Rello J, Marshall J, et al: International study of the prevalence and outcomes of infection in intensive care units. JAMA 2009; 302:2323-2329
2. 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
3. Muscedere JG, Martin CM, Heyland DK: The impact of ventilator-associated pneumonia on the Canadian health care system. J Crit Care 2008; 23:5-10 (Pubitemid 351400351)
4. Muscedere JG, Day A, Heyland DK: Mortality, attributable mortality, and time to clinical events as end points for clinical trials of ventilator-associated pneumonia and hospital-acquired pneumonia. Clin Infect Dis 2010; 51:S120-S125
5. Kuti EL, Patel AA, Coleman CI: Impact of inappropriate antibiotic therapy on mortality in patients with ventilator-associated pneumonia and blood stream infection: A metaanalysis. J Crit Care 2008; 23:91-100 (Pubitemid 351400347)
6. Safdar N, Crnich CJ, Maki DG: The pathogenesis of ventilator-associated pneumonia: Its relevance to developing effective strategies for prevention. Respiratory Care 2005; 50:725-739; discussion 739-741 (Pubitemid 46187578)
7. Kallet RH, Quinn TE: The gastrointestinal tract and ventilator-associated pneumonia. Respiratory Care 2005; 50:910-921; discussion 921-923 (Pubitemid 46196676)
8. Dullenkopf A, Gerber A, Weiss M: Fluid leakage past tracheal tube cuffs: evaluation of the new Microcuff endotracheal tube. Intensive Care Med 2003; 29:1849-1853 (Pubitemid 37373839)
9. Greene R, Thompson S, Jantsch HS, et al: Detection of pooled secretions above endotracheal-tube cuffs: value of plain radiographs in sheep cadavers and patients. Am J Roentgenol 1994; 163:1333-1337
10. Mahul P, Auboyer C, Jospe R, et al: Preven-tion of nosocomial pneumonia in intubated patients: respective role of mechanical subglottic secretions drainage and stress ulcer prophylaxis. Intensive Care Med 1992; 18: 20-25
11. Dezfulian C, Shojania K, Collard HR, et al: Subglottic secretion drainage for preventing ventilator-associated pneumonia: A metaanalysis. Am J Med 2005; 118:11-18 (Pubitemid 40082451)
12. Krein SL, Kowalski CP, Damschroder L, et al: Preventing ventilator-associated pneumonia in the United States: A multicenter mixedmethods study. Infect Control Hosp Epidemiol 2008; 29:933-940
13. Institute of Health Care Improvement Web site: Implement the ventilator bundle. Available at: www.ihi.org/IHI/Topics/CriticalCare/Intensive Care/Changes/ImplementtheVentilatorBundle. htm. Accessed September 27, 2010.
14. Liberati A, Altman D, Tetzlaff J, et al: The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. PLoS Med 2008; 6:e1000100
15. Heyland DK, MacDonald S, Keefe L, et al: Total parenteral nutrition in the critically ill patient: A meta-analysis. JAMA 1998; 280: 2013-2019
16. DerSimonian R, Laird N: Meta-analysis in clinical trials. Control Clin Trials 1986; 7:177-188 (Pubitemid 17189972)
17. Review Manager (RevMan) Computer program version 5.0.25, September 15, 2010. Copenhagen, Denmark, The Nordic Cochrane Centre, The Cochrane Collaboration, 2008
18. 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
19. Metz C, Linde HJ, Gobel L, et al: Influence of intermittent subglottic lavage on subglottic colonisation and ventilator-associated pneumonia. Clin Intensive Care 1998; 9:20-24 (Pubitemid 28107782)
20. Kollef MH, Skubas NJ, Sundt TM: A randomized clinical trial of continuous aspiration of subglottic secretions in cardiac surgery patients. Chest 1999; 16:1339-1346 (Pubitemid 29535990)
21. Bo H, He L, Qu J: [Influence of the subglottic secretion drainage on the morbidity of ventilator associated pneumonia in mechanically ventilated patients]. Chin J Tuberculosis Respir Dis 2000; 23:472-474
22. Smulders K, van der Hoeven H, Weers-Pothoff I, et al: A randomized clinical trial of intermittent subglottic secretion drainage in patients receiving mechanical ventilation. Chest 2002; 121:858-862 (Pubitemid 34251455)
23. Girou E, Buu-Hoi A, Stephan F, et al: Airway colonisation in long-term mechanically ventilated patients. Effect of semi-recumbent position and continuous subglottic suctioning. Intensive Care Med 2004; 30:225-233 (Pubitemid 38253412)
24. Liu QH, He LX, Hu BJ, et al: [Comprehensive prevention and pathogenesis of ventilatorassociated pneumonia in elderly patients: A prospective, randomized, case-control clinical trial]. Zhonghua Nei Ke Za Zhi 2006; 45:717-720
25. Lorente L, Lecuona M, Jiménez A, et al: Influence of an endotracheal tube with polyurethane cuff and subglottic secretion drainage on pneumonia. Am J Respir Crit Care Med 2007; 176:1079-1083 (Pubitemid 350223753)
26. Bouza E, Pérez MJ, Muñ oz P, et al: Continuous aspiration of subglottic secretions in the prevention of ventilator-associated pneumonia in the postoperative period of major heart surgery. Chest 2008; 134:938-946
27. Yang CS, Qiu HB, Zhu YP, et al: [Effect of continuous aspiration of subglottic secretions on the prevention of ventilatorassociated pneumonia in mechanically ventilated patients: A prospective, randomized, controlled clinical trial]. Chung-Hua Nei Ko Tsa Chih 2008; 47:625-629
28. Zheng RQ, Lin H, Shao J, et al: [A clinical study of subglottic secretion drainage for prevention of ventilation associated pneumonia]. Chin Crit Care Med 2008; 20:338-340 (Pubitemid 352005953)
29. Lacherade JC, De Jonghe B, Guezennec P, et al: Intermittent subglottic secretion drainage and ventilator-associated pneumonia: A multicenter trial. Am J Respir Crit Care Med 2010; 182:910-917
30. Pneumatikos I, Koulouras V, Nathanail C, et al: Selective decontamination of subglottic area in mechanically ventilated patients with multiple trauma. Intensive Care Med 2002; 28:432-437 (Pubitemid 34328027)
31. Shorr AF, O'Malley PG: Continuous subglottic suctioning for the prevention of ventilator associated pneumonia: Potential economic implications. Chest 2001; 119:228-235 (Pubitemid 32150572)
32. Drakulovic MB, Torres A, Bauer TT, et al: Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: A randomised trial. Lancet 1999; 354:1851-1858
33. Kola A, Gastmeier P: Efficacy of oral chlorhexidine in preventing lower respiratory tract infections. Meta-analysis of randomized controlled trials. J Hosp Infect 2007; 66: 207-216 (Pubitemid 46979844)
34. Liberati A, D'Amico R, Pifferi S, et al: Antibiotic prophylaxis to reduce respiratory tract infections and mortality in adults receiving intensive care. Update of Cochrane Database Systematic Reviews. Cochrane Database System Rev 2009; CD000022
35. van Nieuwenhoven CA, Vandenbroucke-Grauls C, van Tiel FH, et al: Feasibility and effects of the semirecumbent position to prevent ventilator-associated pneumonia: A randomized study. Crit Care Med 2006; 34: 396-402 (Pubitemid 43145618)
36. Chan EY, Ruest A, Meade M, et al: Oral decontamination for prevention of pneumonia in mechanically ventilated adults: Systematic review and meta-analysis. BMJ 2007; 10:1136
37. Kollef MH, Afessa B, Anzueto A, et al: and the NASCENT Investigation Group. Silvercoated endotracheal tubes and incidence of ventilator-associated pneumonia: The NASCENT randomized trial. JAMA 2008; 300:805-813
38. Dragoumanis CK, Vretzakis GI, Papaioannou VE, et al: Investigating the failure to aspirate subglottic secretions with the Evac endotracheal tube. Anesth Analg 2007; 105: 1083-1085 (Pubitemid 47479326)
39. O'Neal PV, Munro CL, Grap MJ, et al: Subglottic secretion viscosity and evacuation efficiency. Biol Resr Nursing 2007; 8:202
40. 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 (Pubitemid 39372541)
41. Harvey R, Miller P, Lee J, et al: Potential mucosal injury related to continuous aspiration of subglottic secretion device. Anesthesiology 2007; 107:666-669 (Pubitemid 47480574)
42. Valles J: Monitoring intra-cuff pressure in subglottic aspiration. Crit Care Med 2005; 33:1469-1470
43. Rubin BK, Perez J, Narron KA, et al: In vitro evaluation of endotracheal tubes with intrinsic suction. Chest 2010; 138:863-869