VAP prevention â non-antimicrobial methods
VAP prevention â non-antimicrobial methods
VAP prevention â non-antimicrobial methods
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Pneumonia in intubated patients: role of respiratory<br />
airway care.<br />
Rello J et al, Am J Respir Crit Care Med 1996; 154: 111-5<br />
• 83 consecutive intubated patients undergoing continuous<br />
aspiration of subglottic secretions (CASS)<br />
• Failure of CASS (RR = 7.5, 95% CI = 1.5-38) & persistent<br />
intracuff pressure below 20 cm H 2 O (RR = 4.2, CI = 1.1-16)<br />
were factors independently associated with <strong>VAP</strong><br />
• Colonized subglottic secretions around the cuff are the<br />
most important risk factor for <strong>VAP</strong> in the 1 st 8 days of<br />
intubation<br />
• Study confirmed the importance of maintaining adequate<br />
cuff pressure & effective subglottic aspiration to prevent<br />
pneumonia
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