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.
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Details
Title
Airway Management and Ventilator-Associated Events
Publication Details
Respiratory care, Vol.64(8), pp.986-993
Resource Type
Journal article
Publisher
Daedalus Enterprises Inc
Number of pages
8
Identifiers
WOS:000477079700015; 99380580136506600
Academic Unit
Health Sciences and Administration; Usha Kundu, MD College of Health