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VAP prevention – non-antimicrobial methods

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Subglottic Secretion Drainage Tubes<br />

• Are slightly stiffer & the cuffs are still not 100%<br />

effective<br />

• 48% failure rate – due to prolapse of mucosa into<br />

the suction port [Dragoumanis et al, 2007]<br />

• Design is improving rapidly; now 3 rd generation<br />

• Highly cost-effective<br />

• They don’t yet ‘eliminate’ <strong>VAP</strong>, but may be the<br />

most effective single <strong>non</strong>-<strong>antimicrobial</strong><br />

intervention

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