Subglottic secretion drainage in prevention of ventilator-associated pneumonia: mind the gap between studies and reality
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چکیده
منابع مشابه
Subglottic secretion drainage in prevention of ventilator-associated pneumonia: mind the gap between studies and reality
Despite application of preventive measures in bundles, ventilator-associated pneumonia (VAP) remains the most common nosocomial infection, leading to increases in mechanical ventilation duration, ICU stay and healthcare costs [1]. Although two meta-analyses report a half reduction of VAP following use of endotracheal tubes (ETTs) with subglottic secretion drainage (SSD) [2], these devices are n...
متن کاملIntermittent subglottic secretion drainage and ventilator-associated pneumonia.
RATIONALE Ventilator-associated pneumonia (VAP) causes substantial morbidity and mortality. The influence of subglottic secretion drainage (SSD) in preventing VAP remains controversial. OBJECTIVES To determine whether SSD reduces the overall incidence of microbiologically confirmed VAP. METHODS Randomized controlled clinical trial conducted at four French centers. A total of 333 adult patie...
متن کاملReview: subglottic secretion drainage reduces ventilator associated pneumonia.
Dezfulian C, Shojania K, Collard HR, et al. Subglottic secretion drainage for preventing ventilator-associated pneumonia: a metaanalysis. Am J Med 2005;118:11–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
متن کاملSubglottic secretion drainage for the prevention of ventilator-associated pneumonia: a systematic review and meta-analysis.
BACKGROUND AND PURPOSE Aspiration of secretions containing bacterial pathogens into the lower respiratory tract is the main cause of ventilator-associated pneumonia. Endotracheal tubes with subglottic secretion drainage can potentially reduce this and, therefore, the incidence of ventilator-associated pneumonia. New evidence on subglottic secretion drainage as a preventive measure for ventilato...
متن کاملNumber needed to treat for subglottic secretion drainage technology as a ventilator-associated pneumonia prevention strategy
The number needed to treat can be calculated for ventilator-associated pneumonia reduction strategies such as subglottic secretion drainage technology based on previous work establishing its relative risk reduction. Assuming an incidence of 4%, employing subglottic secretion drainage in 33 patients will prevent one case of ventilator-associated pneumonia, and thus potentially 4 cases annually i...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2013
ISSN: 1364-8535
DOI: 10.1186/cc13149