Airway Management and Ventilator-Associated Events.
Respir Care
; 64(8): 986-993, 2019 Aug.
Article
en En
| MEDLINE
| ID: mdl-31346073
ABSTRACT
Airway management techniques are aimed at reducing complications associated with artificial airways and mechanical ventilation, such as retained secretions. The impact of airway management techniques on ventilator-associated events (VAEs) varies considerably by modality. Closed-suction techniques are generally recommended but have limited, if any, impact on VAEs. Normal saline instillation during suctioning is not recommended. Devices designed specifically to remove biofilm from the inside of endotracheal tubes appear to be safe, but their role in VAE prevention is uncertain. Subglottic secretion clearance by artificial cough maneuvers is promising, but more research is needed to assess its clinical feasibility. Continuous cuff-pressure management appears to be effective in reducing microaspiration of subglottic secretions.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Respiración Artificial
/
Ventiladores Mecánicos
/
Manejo de la Vía Aérea
/
Enfermedad Iatrogénica
/
Intubación Intratraqueal
Tipo de estudio:
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Respir Care
Año:
2019
Tipo del documento:
Article