Comparative Evaluation of the Incidence of Ventilator Associated Pneumonia in Intermittent Oral Suction Vs Continuous Subglottic Suction in Adult Neurosurgical Patient Requiring Mechanical Ventilation: A Randomized Control Trial
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Ventilator Associated Pneumonia (VAP) is the most common nosocomial infection in intensive care units (ICUs). The impaired host defenses and continuous exposure of the lower respiratory tract to large number of pathogens through the endotracheal tube makes the mechanically ventilated patient prone to developing VAP. Thus present study was planned to compare the incidence of VAP in neurosurgical patients with continuous subglottic suction and conventional intermittent oral suction. Material and methods: A total of 70 adult neurosurgical patients who were expected to require mechanical ventilation for more than 72 hours were enrolled in this prospective study. These patients were randomized into two groups of 35 each. In group 1 patient were intubated with the conventional endotracheal tube and intermittent oral suction was done every 4 hourly and as and when required in addition. In group 2 the patients were intubated with Evac tube and continuous suctioning was done by maintaining a negative pressure of 20- 25 mm Hg. Both the groups were compared for the incidence of VAP. Results: Both the groups were comparable with regard to age and sex distribution. The incidence of VAP was 17.1% in patients of control group and 11.4% in patients of study group. There was an overall reduction in the incidence of VAP by 5.7% by the use of continuous subglottic suction the reduction. Conclusion: As the result shows 5.7% better outcome in study group as compared to control group, therefore the intervention used in the study group i.e. continuous subglottic suction is better than that used in control group i.e. intermittent oral suction.
Authors and Affiliations
Jyoti Sharma
Keywords
Related Articles
- EP ID EP472168
- DOI 10.21088/ijaa.2349.8471.4417.41
- Views 79
- Downloads 0
Pre-Emptive Analgesic Efficacy of Preincisional I.V. Low Dose Ketamine (0.15mg/kg) in Patients Posted for L.S.C.S. Under Spinal Anaesthesia
Inadequate pain relief after caesarean section delivery impairs mother’s ability to optimally care for her infant and to breastfeed in the immediate postoperative period. Pre-emptive analgesia is an antinociceptive treat...
A Comparative Study of Hemodynamic Response and Ease of Intubation in Patients Intubated by Direct Laryngoscopy Versus Lightwand
Introduction: Direct laryngoscopic endotracheal intubation is associated with varying degrees of sympathetic activity which may be detrimental in patients with coexisting conditions, such as coronary artery disease, elev...
Betamethasone, Lignocaine and KY Gel Application over ET Tube to Reduce Postoperative Sore Throat, Cough and Hoarseness: A Comparative Study
Background and Aim: To compare the application of betamethasone gel, lignocaine gel and KY jelly on the endotracheal tube to reduce the incidence of postoperative sore throat, cough and hoarseness of voice. Materials and...
A Comparative Study of Efficacy of Bupivacaine and Ropivacaine with Fentanyl in Epidural Labour Analgesia
Introduction: Labour is a highly complex and personal process for every woman. Analgesic intervention is a matter of personal choice for delivery. Local anesthesia given as an epidural injection along with an opioid give...
Study on Effectiveness of EMLA Cream in Attenuation of the Hemodynamic Response to Venepuncture
Context: The anxiety related to venepuncture can result in a hemodynamic stress response leading to increase in heart rate and blood pressure of the patient. Aims: To evaluate the efficacy of eutectic mixture of local an...