%0 Journal Article
%T Investigating the Role of Subglottic Secretions Suctioning in the Prevention of £¿Ventilator Associated Pneumonia in Patients With Invasive Mechanical £¿Ventilation | Salman | Global Journal of Health Science | CCSE
%A Amir Ibrahim Moushib
%A Hayder Adnan Fawzi
%A Iyad Abbas Salman
%A Waleed Ibraheem Ali
%J Home | Global Journal of Health Science | CCSE
%D 2019
%R 10.5539/gjhs.v11n6p111
%X BACKGROUND: development of ventilator associated pneumonia (VAP) leads to £¿prolonged hospital stay, increased health care cost, and mortality rates. Subglottic £¿secretion drainage through a dedicated endotracheal tube has been advocated as a mean £¿to decrease the incidence of VAP and thereby assisting in £¿the decrease of morbidity associated with invasive mechanical ventilation.£¿

OBJECTIVE: Investigate the role of subglottic secretion suctioning in the prevention of VAP in mechanically ventilated patients in intensive care unit.£¿

METHODS: A cross sectional study done in the intensive care unit of Ghazi Al-Hariri £¿hospital for surgical specialties in medical city complex, 30 patients who £¿are in need for invasive mechanical ventilation were intubated with endotracheal tube £¿that have special port for subglottic secretion suctioning. Daily monitoring of patients £¿clinical and radiological data to detect features of VAP was £¿done, and if there was a suspicion of pneumonia, culture for tracheal aspirate performed £¿to confirm diagnosis.£¿

RESULTS: £¿Patient¡¯s age was 37.1 ¡À £¿£¿15.39 years, the highest proportion of study patients was found in £¿age group < 30 and £¿£¿30¨C49 years (40% in £¿each group), most of the patients were males (70%) with a male to female ratio of £¿£¿2.33:1£¿£¿, £¿Subglottic secretion suctioning lead to reduction in VAP by relative risk (95%CI) of £¿£¿0.167 (0.045¨C0.559)£¿£¿, p-£¿value = 0.001. £¿Twenty eight patients didn¡¯t show any sign, symptoms £¿or radiological features suggesting a £¿diagnosis of pneumonia while two patients developed £¿features of pneumonia (suggestive signs and £¿symptoms, radiological features and £¿positive culture of tracheal aspirate).£¿

CONCLUSION: the use of endotracheal tube with subglottic £¿secretions suctioning can have a role in the prevention of VAP in mechanically ventilated patients.
%U http://www.ccsenet.org/journal/index.php/gjhs/article/view/0/39419