• Respiratory care · Aug 2019

    Review

    Airway Management and Ventilator-Associated Events.

    • Amanda M Dexter and J Brady Scott.
    • Department of Kinesiology, Respiratory Care Program, University of North Carolina at Charlotte, Charlotte, North Carolina.
    • Respir Care. 2019 Aug 1; 64 (8): 986-993.

    AbstractAirway 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.Copyright © 2019 by Daedalus Enterprises.

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