Volume : VIII, Issue : I, January - 2018

Intermittent subglottic secretions drainage &Ventilator Associated Pneumonia

Dr. Sameer V Kulkarni, Dr. Harshad Dongare

Abstract :

 

Background: Ventilator associated pneumonia (VAP) is an important health issue in any Intensive Care Unit (ICU). It is necessary to reduce overall incidence of VAP in ICU patients. Aspiration of tracheal secretions into lungs is the main cause of VAP. To prevent this aspiration, different strategies are employed. Out of which, intermittent subglottic secretion drainage is newer one & needs to be studied.

Objective: TO determine whether subglottic secretion device (SSD) reduces incidence of VAP.

Materials & Methods: The present study was undertaken to determine whether SSD reduces incidence of VAP. 35 adult patients intubated with ETT (endotracheal tube) & expected to require mechanical ventilation for more than 48 hours was included.

Results: Out of total 100 patients, 50 were having SSD ETT & 50 patients had ETT without SSD. Out of these 100 patients, 18 patients had microbiologically confirmed VAP. Out of these 18 patients 7 patients were from SSD tube study group & 11 patients from control group.

Conclusion: Use of SSD ETT can reduce incidence of early VAP. Also it act in unison with other methods to prevent VAP but more studies are required to demonstrate its effect on length of ICU stay and duration of mechanical ventilation.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Sameer V Kulkarni, Dr. Harshad Dongare, Intermittent subglottic secretions drainage &Ventilator Associated Pneumonia, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-1 | January-2018

Number of Downloads : 243

References :