Subglottic secretion drainage: a literature review

AACN Adv Crit Care. 2007 Oct-Dec;18(4):366-79. doi: 10.1097/01.AACN.0000298629.15159.04.

Abstract

Ventilator-associated pneumonia is a costly complication of hospitalization that lengthens intensive care unit and hospital stay, increasing morbidity and mortality. Among evidence-based measures to prevent ventilator associated pneumonia is the use of a specialized endotracheal tube that aspirates subglottic secretions. Recommendations for subglottic aspiration are found in guidelines by the Centers for Disease Control and Prevention, American Association of Critical-Care Nurses, and the American Thoracic Society. The purpose of this article is to review the available evidence regarding the use of an endotracheal tube with a subglottic secretion aspiration port to prevent ventilator-associated pneumonia. Issues, cost, benefits, and research recommendations will also be discussed.

Publication types

  • Review

MeSH terms

  • Clinical Nursing Research
  • Critical Care / methods*
  • Equipment Design
  • Evidence-Based Medicine
  • Glottis / metabolism*
  • Humans
  • Infection Control / methods
  • Intubation, Intratracheal* / adverse effects
  • Intubation, Intratracheal* / instrumentation
  • Morbidity
  • Pneumonia, Aspiration / epidemiology
  • Pneumonia, Aspiration / etiology
  • Pneumonia, Aspiration / prevention & control*
  • Pneumonia, Ventilator-Associated / epidemiology
  • Pneumonia, Ventilator-Associated / etiology
  • Pneumonia, Ventilator-Associated / prevention & control*
  • Practice Guidelines as Topic
  • Prospective Studies
  • Randomized Controlled Trials as Topic
  • Research Design
  • Risk Factors
  • Suction / instrumentation*
  • Time Factors
  • Treatment Outcome