[Incidence of ventilator-associated pneumonia in patients using open-suction systems and closed-suction systems: a prospective study -- preliminary data]
- PMID: 12041052
- DOI: 10.1590/s0104-11692001000100007
[Incidence of ventilator-associated pneumonia in patients using open-suction systems and closed-suction systems: a prospective study -- preliminary data]
Abstract
This a randomized clinical trial in which 20 patients were prospectively evaluated for the incidence of ventilator-associated pneumonia (VAP), of whom 12 received endotracheal suctioning by an open-suction method and 8 by a closed-suction method. Differences in the incidence of VAP was not significantly different (p = 0.4) between closed and open suctioning. Differences in Acute Physiology and Chronic Health Evaluation II, duration of entubation, and the use of steroids were all not significant. All patients in the study used H2 antagonist and a nasogastric tube. Proceeding with the study will involve a sample increase with a possible change in the results.
Similar articles
-
A prospective, randomized study of ventilator-associated pneumonia in patients using a closed vs. open suction system.J Clin Nurs. 2003 Jul;12(4):484-9. doi: 10.1046/j.1365-2702.2003.00749.x. J Clin Nurs. 2003. PMID: 12790861 Clinical Trial.
-
Incidence of colonization, nosocomial pneumonia, and mortality in critically ill patients using a Trach Care closed-suction system versus an open-suction system: prospective, randomized study.Crit Care Med. 1990 Dec;18(12):1389-93. doi: 10.1097/00003246-199012000-00016. Crit Care Med. 1990. PMID: 2245613 Clinical Trial.
-
Ventilator-associated pneumonia using a closed versus an open tracheal suction system.Crit Care Med. 2005 Jan;33(1):115-9. doi: 10.1097/01.ccm.0000150267.40396.90. Crit Care Med. 2005. PMID: 15644657 Clinical Trial.
-
Closed versus open suctioning techniques.Minerva Anestesiol. 2002 May;68(5):360-4. Minerva Anestesiol. 2002. PMID: 12029246 Review.
-
Closed tracheal suction systems for prevention of ventilator-associated pneumonia.Br J Anaesth. 2008 Mar;100(3):299-306. doi: 10.1093/bja/aem403. Epub 2008 Feb 4. Br J Anaesth. 2008. PMID: 18250225 Review.
Cited by
-
Comparing two levels of closed system suction pressure in ICU patients: Evaluating the relative safety of higher values of suction pressure.Iran J Nurs Midwifery Res. 2013 Mar;18(2):117-22. Iran J Nurs Midwifery Res. 2013. PMID: 23983740 Free PMC article.
-
Impact of the suctioning system (open vs. closed) on the incidence of ventilation-associated pneumonia: Meta-analysis of randomized controlled trials.Intensive Care Med. 2006 Sep;32(9):1329-35. doi: 10.1007/s00134-006-0241-3. Epub 2006 Jun 21. Intensive Care Med. 2006. PMID: 16788806
-
Closed tracheal suction systems versus open tracheal suction systems for mechanically ventilated adult patients.Cochrane Database Syst Rev. 2007 Oct 17;2007(4):CD004581. doi: 10.1002/14651858.CD004581.pub2. Cochrane Database Syst Rev. 2007. PMID: 17943823 Free PMC article.
-
Guidelines for the management of hospital-acquired pneumonia in the UK: report of the working party on hospital-acquired pneumonia of the British Society for Antimicrobial Chemotherapy.J Antimicrob Chemother. 2008 Jul;62(1):5-34. doi: 10.1093/jac/dkn162. Epub 2008 Apr 29. J Antimicrob Chemother. 2008. PMID: 18445577 Free PMC article.
-
Ventilator-associated pneumonia: diagnosis, treatment, and prevention.Clin Microbiol Rev. 2006 Oct;19(4):637-57. doi: 10.1128/CMR.00051-05. Clin Microbiol Rev. 2006. PMID: 17041138 Free PMC article.