Protecting against Ventilator Connected Pneumonia
One of the most commonly happening infections between patients in the hospital in extensive care models is ventilator-associated pneumonia, which can be associated with a lot of negative effects. This contamination has produced considerable worries among healthcare providers because it leads to protracted hospital stay, increased costs of health care services, and high mortality rate of between 12-15 and 45%. The infection likewise generates several complications for these patients, especially those having a major cardiovascular system surgery that needs mechanical ventilation in the treatment process. Provided these negative outcomes and increased worries, prevention of ventilator-associated pneumonia is increasingly important in intensive proper care units. When several strategies have been advised to help prevent this infection, the use of endotracheal tube with subglottic suction line could help prevent VAP.
Using Endotracheal Tube with Subglottic Suction Line to Prevent VAP
While previously indicated, the use of endotracheal tube with subglottic suction line appears to be the most effective way of preventing ventilator-associated pneumonia. The usage of this system to prevent the infection is within the premise that aspiration of subglottic secretions (ASS) has proven effective in preventing VAP. Furthermore, the results of a meta-analysis on the concern have shown that ASS lessens the number of times a patient is on physical ventilation and the overall period in intense care devices (Granda ou al., 2013, p. 312). The study has additionally shown that using ASS systematically in ICU people undergoing main heart surgical procedure lessens the frequency and density of ventilator-associated pneumonia. While this procedure lessens cost of antimicrobials, this increases the costs of endotracheal tubes which have been required for doing aspiration of subglottic secretions systematically. This really is a significant signal of the value of endotracheal tubes with subglottic suction line in preventing VAP since the rate of this disease among patients going through key heart surgery is usually high. The excessive rate of VAP rate of recurrence among these patients is attributable to the simple fact that their preoperative, intraoperative, and postoperative factors associated with their condition increased the need for mechanical venting, which in turn contributes to the infection.
Endotracheal tube with subglottic suction line is critical in avoiding the infection since it incorporates changes of the tube to lessen microaspiration. This implies that including subglottic line in the endotracheal pipe helps in minimizing microaspiration or maybe the formation of biofilm. The advantages of using these tubes with subglottic suction line is attributable to the simple fact that the accumulation of subglottic