Intermittent subglottic secretion drainage may cause tracheal damage in patients with few oropharyngeal secretions

Intensive and Critical Care Nursing

Volumn 29, Issue 6, 2013, Pages 317-320

  Suys, E ^a   Nieboer, K ^a   Stiers, W ^a   De Regt, J ^a   Huyghens, L ^a   Spapen, H ^a  

^a UNIVERSITY HOSPITAL BRUSSELS   (Belgium)

Author keywords

Aspiration; Endotracheal tube; Mucosal damage; Subglottic secretion drainage

Indexed keywords

AGED; ARTICLE; ASPIRATION; ENDOTRACHEAL INTUBATION; ENDOTRACHEAL TUBE; HUMAN; INJURY; MALE; METHODOLOGY; MIDDLE AGED; MUCOSAL DAMAGE; OROPHARYNX; PHYSIOLOGY; PILOT STUDY; PROSPECTIVE STUDY; SUBGLOTTIC SECRETION DRAINAGE; SUCTION; TRACHEA;

ASPIRATION; ENDOTRACHEAL TUBE; MUCOSAL DAMAGE; SUBGLOTTIC SECRETION DRAINAGE;

AGED; HUMANS; INTUBATION, INTRATRACHEAL; MALE; MIDDLE AGED; OROPHARYNX; PILOT PROJECTS; PROSPECTIVE STUDIES; SUCTION; TRACHEA;

EID: 84887024159     PISSN: 09643397     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.iccn.2013.02.007     Document Type: Article

References (14)

1. Berra L., De Marchi L., Panigada M., Yu Z., Baccarelli A., Kolobow T. Evaluation of continuous aspiration of subglottic secretion in an in vivo study. Crit Care Med 2004, 32(10):2071-2078.
2. Chandler Harvey R., Miller P., Lee J.A., Bowton D.L., MacGregor D.A. Potential mucosal injury related to continuous aspiration of subglottic secretion device. Anesthesiology 2007, 107(4):666-669.
3. Dezfulian C., Shojania K., Collard H.R., Myra Kim H., Matthay M.A., Saint S. Subglottic secretion drainage for preventing ventilator-associated pneumonia: a meta-analysis. Am J Med 2005, 118(1):11-18.
4. Dragoumanis C.K., Vretzakis G.I., Papaioannou V.E., Didilis V.N., Vogiatzaki T.D., Pneumatikos I.A. Investigating the failure to aspirate subglottic secretions with the Evac endotracheal tube. Anesth Analg 2007, 105(4):1083-1085.
5. Girou E., Buu-Hoi A., Stephan F., Novara A., Gutmann L., Safar M., et al. Airway colonization in long-term mechanically ventilated patients. Effect of semi-recumbent position and continuous subglottic suctioning. Intensive Care Med 2004, 30(2):225-233.
6. Klompas M. Prevention of ventilator-associated pneumonia. Expert Rev Anti Infect Ther 2010, 8(7):791-800.
7. Lacherade J.C., De Jonghe B., Guezennec P., Debbat K., Hayon J., Monsel A., et al. Intermittent subglottic secretion drainage and ventilator-associated pneumonia. A multicenter trial. Am J Respir Crit Care Med 2012, 182(7):910-917.
8. Lorente L., Lecuona M., Jiménez A., Mora M.L., Sierra A. Influence of an endotracheal tube with polyurethane cuff and subglottic secretion drainage on pneumonia. Am J Respir Crit Care Med 2007, 176(11):1079-1083.
9. Mahul P., Auboyer C., Jospe R., Ros A., Guerin C.,Khouri Z., 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(1):20-25.
10. Metz C., Linde H.J., Gobel L., Taeger K. Influence of intermittent subglottic lavage on subglottic colonization and ventilator-associated pneumonia. Clin Intensive Care 1998, 9(1):20-24.
11. Muscedere J., Rewa O., McKechnie K., Jiang X., Laporta D., Heyland D.K. Subglottic secretion drainage for the prevention of ventilator-associated pneumonia: a systemic review and meta-analysis. Crit Care Med 2011, 39(8):1985-1991.
12. Rello J., Soñora R., Jubert P., Artigas A., Rué M., Vallés J. Pneumonia in intubated patients: role of respiratory airway care. Am J Respir Crit Care Med 1996, 154(1):111-115.
13. Shorr A.F., O'Malley P.G. Continuous subglottic suctioning for the prevention of ventilator-associated pneumonia: potential economic implications. Chest 2001, 119(1):228-235.
14. Smulders K., van der Hoeven H., Weers-Pothoff I., Vandenbroucke-Grauls C. A randomized clinical trial of intermittent subglottic secretion drainage in patients receiving mechanical ventilation. Chest 2002, 121(3):858-862.