Subglottic secretion drainage: a literature review.
Ventilator-associated pneumonia is a costly complication of hospitalization that lengthens intensive care unit and hospital stay, increasing morbidity and mortality. Among evidence-based measures to prevent ventilator associated pneumonia is the use of a specialized endotracheal tube that aspirates subglottic secretions. Recommendations for subglottic aspiration are found in guidelines by the Centers for Disease Control and Prevention, American Association of Critical-Care Nurses, and the American Thoracic Society. The purpose of this article is to review the available evidence regarding the use of an endotracheal tube with a subglottic secretion aspiration port to prevent ventilator-associated pneumonia. Issues, cost, benefits, and research recommendations will also be discussed.
Depew
Charlotte L
CL
US Army, 22632 E Rowland Dr, Aurora, CO 80016, USA. cldepew77@comcast.net
McCarthy
Mary S
MS
D015400:Clinical Nursing Research; D003422:Critical Care / Q000379:methods*; D004867:Equipment Design; D019317:Evidence-Based Medicine; D005931:Glottis / Q000378:metabolism*; D006801:Humans; D017053:Infection Control / Q000379:methods; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation; D009017:Morbidity; D011015:Pneumonia, Aspiration / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D012107:Research Design; D012307:Risk Factors; D013396:Suction / Q000295:instrumentation*; D013997:Time Factors; D016896:Treatment Outcome