Efficacy of Hi-Lo Evac Endotracheal Tube in Prevention of Ventilator-Associated Pneumonia in Mechanically Ventilated Poisoned Patients
المؤلفون المشاركون
Aghabiklooei, Abbas
Shadnia, Shahin
Mashayekhian, Mohammad
Rahimi, Mitra
Ghoochani, Ahmad
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-08-29
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Ventilator-associated pneumonia (VAP) is the most common health care-associated infection.
To prevent this complication, aspiration of subglottic secretions using Hi-Lo Evac endotracheal tube (Evac ETT) is a recommended intervention.
However, there are some reports on Evac ETT dysfunction.
We aimed to compare the incidence of VAP (per ventilated patients) in severely ill poisoned patients who were intubated using Evac ETT versus conventional endotracheal tubes (C-ETT) in our toxicology ICU.
Materials and Methods.
In this clinical randomized trial, 91 eligible patients with an expected duration of mechanical ventilation of more than 48 hours were recruited and randomly assigned into two groups: (1) subglottic secretion drainage (SSD) group who were intubated by Evac ETT ( n = 43 ) and (2) control group who were intubated by C-ETT ( n = 48 ).
Results.
Of the 91 eligible patients, 56 (61.5%) were male.
VAP was detected in 24 of 43 (55.8%) patients in the case group and 23 of 48 (47.9%) patients in the control group ( P = 0.45 ).
The most frequently isolated microorganisms were S.
aureus (54.10%) and Acinetobacter spp.
(19.68%).
The incidence of VAP and ICU length of stay were not significantly different between the two groups, but duration of intubation was statistically different and was longer in the SSD group.
Mortality rate was less in SSD group but without a significant difference ( P = 0.68 ).
Conclusion.
The SSD procedure was performed intermittently with one-hour intervals using 10 mL syringe.
Subglottic secretion drainage does not significantly reduce the incidence of VAP in patients receiving MV.
This strategy appears to be ineffective in preventing VAP among ICU patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ghoochani, Ahmad& Shadnia, Shahin& Mashayekhian, Mohammad& Rahimi, Mitra& Aghabiklooei, Abbas. 2016. Efficacy of Hi-Lo Evac Endotracheal Tube in Prevention of Ventilator-Associated Pneumonia in Mechanically Ventilated Poisoned Patients. Scientifica،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1117732
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ghoochani, Ahmad…[et al.]. Efficacy of Hi-Lo Evac Endotracheal Tube in Prevention of Ventilator-Associated Pneumonia in Mechanically Ventilated Poisoned Patients. Scientifica No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1117732
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ghoochani, Ahmad& Shadnia, Shahin& Mashayekhian, Mohammad& Rahimi, Mitra& Aghabiklooei, Abbas. Efficacy of Hi-Lo Evac Endotracheal Tube in Prevention of Ventilator-Associated Pneumonia in Mechanically Ventilated Poisoned Patients. Scientifica. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1117732
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1117732
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر