Airway Management and Ventilator-Associated Events.
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.
['Dexter|Amanda M|AM|', 'Scott|J Brady|JB|']
D058109:Airway Management D006801:Humans D007049:Iatrogenic Disease D007442:Intubation, Intratracheal D053717:Pneumonia, Ventilator-Associated D012121:Respiration, Artificial D013396:Suction D012122:Ventilators, Mechanical
airway management ventilator-associated event mechanical ventilation suctioning biofilm cuff pressure subglottic drainage ventilator-associated pneumonia