Comparison of closed endotracheal suction versus open endotracheal suction in the development of ventilator-associated pneumonia in intensive care patients: An evaluation using meta-analytic techniques

Peter, John Victor; Chacko, Binila; Moran, John L.

doi:10.4103/0019-5359.31154

Cited by 23 publications

(14 citation statements)

References 5 publications

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“…However, prior evidence has been inconclusive with respect to this hypothesis. Previous systematic reviews and meta-analyses of randomized trials have concluded that use of CTSS was not associated with a reduced incidence of VAP compared with use of OTSS [13,[15][16][17][18][19][20]. Some also suggested a potential publication bias.…”

Section: Discussionmentioning

confidence: 99%

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Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis

et al. 2014

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Section: Discussionmentioning

confidence: 99%

“…Previous systematic reviews and metaanalyses have concluded that CTSS use has no benefit over OTSS use in preventing VAP [13,[15][16][17][18][19][20]. However, they were based on a relatively small number of trials, and some even suggested a potential publication bias [13,20].…”

Section: Introductionmentioning

confidence: 99%

Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis

et al. 2014

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“…Respecto a los sistemas de drenajes de secreciones se ha demostrado que disminuye la incidencia de NAVM de comienzo precoz en pacientes con una duración de la ventilación mecánica > 72 horas, pero no hay disminución de la mortalidad, de la estancia en UCI ni de los días de ventilación mecánica (3,5,6,8,9,10,(16)(17)(18)20) . En cuanto a la utilización de sistemas cerrados o abiertos no encuentran diferencias en relación a NAVM pero sí se habla de ventajas e inconvenientes como que el abierto está asociado a desaturación arterial e inestabilidad hemodinámica y el cerrado mayor colonización y es más caro (21)(22)(23) .…”

Section: Nº 38 Abril 2015unclassified

Evaluación del cumplimiento de un protocolo de prevención de Neumonía asociada a Ventilación mecánica en una UCI polivalente

Nevot

José²

2015

eglobal

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Nº 38 Abril 2015Página 102 CLÍNICA Evaluación del cumplimiento de un protocolo de prevención de Neumonía asociada a Ventilación mecánica en una UCI polivalenteAssessment of compliance of a pneumonia prevention protocol associated mechanical ventilation in a polyvalent ICU Conclusiones: 1. La frecuencia de registro de los cuidados ha sido buena. Para la mejora del registro de la valoración de la sedación, se hace necesaria la posibilidad de implantar un protocolo para el destete. 2. La incidencia de NAVM ha descendido tras la implantación del protocolo. ABSTRACTAims: 1. Analyze compliance of 80% of the protocol. 2. Describe the evolution of the density of VAP during the study period.

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“…Ventilator associated pneumonia is pneumonia that develops 48 hours or longer after mechanical ventilation. 3,4 The prevalence of ventilator associated pneumonia varies depending upon the demography and hospital associated factors. In studies conducted worldwide prevalence of ventilator associated pneumonia were reported to be ranging from 15 to 27%.…”

Section: Introductionmentioning

confidence: 99%

Incidence of ventilator associated pneumonia in tracheostomised and non tracheostomised patients

Rosario

Sequeira

2018

Int J Res Med Sci

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Background: Pneumonia is the most common hospital acquired infection in the intensive care unit. One of the causes for hospital acquired pneumonia is ventilator associated pneumonia. Tracheostomy is known to prevent occurrence of ventilator associated pneumonia as it decreases the respiratory dead space, assists in better clearance of secretions and prevents chances of aspiration. Generally, tracheostomy is done after 2 weeks of endotracheal intubation to prevent tracheal complications. The aim of this study is to identify the incidence of ventilator associated pneumonia in tracheostomised and non tracheostomised patients and to see if early tracheostomy can prevent development of ventilator associated pneumonia.Methods: The study was conducted at a tertiary care hospital during a period of four years. 100 patients who were on mechanical ventilation for more than 7 days where taken up for the study. APACHE 4 scoring system was used. The incidence of Ventilator associated pneumonia in tracheostomised and non tracheostomised patients was studied.Results: In our study the total incidence of VAP was 44 %. In our study out of the 42 patients who had undergone tracheostomy 13 (30.95%) patients had ventilator associated pneumonia. Among the non-tracheostomised patients 31 (53.44%) out of 58 patients developed ventilator associated pneumonia. In our study the incidence of ventilator associated pneumonia was much lesser (12%) in patients who underwent tracheostomy in the period 7 to 10 days after mechanical ventilation, whereas in those who underwent tracheostomy after 11 days incidence of ventilator associated pneumonia was much higher.Conclusions: Our study showed that the incidence of ventilator associated pneumonia was much higher among non tracheostomised patients compared to patients who underwent tracheostomy. Hence patients undergoing earlier tracheostomy had a clear advantage than those undergoing tracheostomy late or non tracheostomised patients in preventing ventilator associated pneumonia.

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Comparison of closed endotracheal suction versus open endotracheal suction in the development of ventilator-associated pneumonia in intensive care patients: An evaluation using meta-analytic techniques

Cited by 23 publications

References 5 publications

Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis

Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis

Evaluación del cumplimiento de un protocolo de prevención de Neumonía asociada a Ventilación mecánica en una UCI polivalente

Incidence of ventilator associated pneumonia in tracheostomised and non tracheostomised patients

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