Open AccessWould “suction above cuff” be a better option than the “standard” endotracheal tube for the prevention of ventilator-associated pneumonia: A randomized study in postoperative neurological patients
Author(s) -
. Gunjan,
Ankesh,
Saurav Shekhar,
. Akhileshwar,
Priyesh Kumar
Publication year - 2018
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/aer.aer_39_18
Subject(s) - medicine , ventilator associated pneumonia , cuff , pneumonia , suction , intubation , mechanical ventilation , surgery , incidence (geometry) , anesthesia , leak , mechanical engineering , physics , optics , engineering , environmental engineering
Ventilator associated pneumonia is one the most common nosocomial infection encountered in the ICU patients. Despite of the implementation of the VAP prevention bundle, the incidence remains high. This can be attributed to the peritubal leak and the aspiration of the oropharyngeal secretions. The secretions further forms a nidus for the growth of organisms in the lower respiratory tract. In this study, a specialised tube, named 'suction above cuff endotracheal tube' is used, which has an additional suction port opening above the cuff. This is to facilitate timely aspiration of the secretion which pent-up above the cuff and gradually trickles down the trachea resulting in pneumonia.