The Effect of Endotracheal Tube Cuff Pressure Control on the Development of Microaspiration and Ventilator- Associated Pneumonia: Systematic Review
Journal Title: Turkish Journal of Intensive Care - Year 2020, Vol 18, Issue 3
Abstract
Objective: To investigate the effect of endotracheal tube cuff pressure control on microaspiration and ventilator-associated pneumonia. Materials and Methods: This study was created by using the Preferred Reporting Items for Systematic Review and Meta Analysis - Meta Analyzer checklist. Among the electronic databases, Medline/PUBMED, Scopus, Cochrane Library and Google Scholar were scanned for articles published before September 2018 and 1311 studies were reached. After reviewing the eligibility and exclusion criteria, seven experimental/quasi-experimental studies were included. The studies were evaluated with the Turkish Joanna Briggs Institute-Meta Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) Critical Appraisal Checklist in terms of methodological quality. Results: In one study, intermittent control method was used to avoid using any control method and intermittent control method was used despite pilot balloon finger palpation control method in another study. As a result of the methodological quality evaluations of the studies, the lowest score was five and the highest score was nine. It was determined that intermittent and continuous endotracheal tube cuff pressure control method was the most frequently used method in the studies. The incidence of microaspiration was 18% to 80% in three studies, and the incidence of ventilator-associated pneumonia was 2.7% to 67.7% in five studies. Conclusion: When the endotracheal tube cuff pressure control method is not used, it is seen that the incidence of microspiration and ventilator-associated pneumonia increases, the methods used are superior to each other, and continuous endotracheal tube cuff pressure control method is recommended to prevent microspiration and ventilator associated pneumonia.
Authors and Affiliations
Özlem Soyer, Meryem Yavuz van Giersbergen
Keywords
Related Articles
- EP ID EP688775
- DOI 10.4274/tybd.galenos.2019.25582
- Views 122
- Downloads 0
Evaluation of Microorganisms and Antibiotic Resistance Profile Isolated in Intensive Care Unit Patients
Objective: Proper surveillance administered by infection control committee members may reduce infection rates and antibiotic use in intensive care units. This study aimed to evaluate the results of blood, respiratory and...
A New Perspective on Fever Diagnosis After the Coronavirus Disease-2019 Outbreak
Neuroleptic malignant syndrome is rare in neurology practice. It may occur due to the use of high doses of antipsychotics. It requires intensive care follow-up due to its severe complications and has high mortality. Feve...
Simplified Weaning After Use of Quetiapine in a Patient: Case Report
Delirium is an organic dysfunction including the brain’s inflammatory response to injury, hormonal effects and changes in neurotransmission and neural network. Delirium is one of the major causes of weaning difficulty in...
Oculomotor Nerve Injury Associated with Trauma: Case Report
A 22-year-old female patient was admitted to the intensive care unit with subdural hematoma, brain edema, hemopneumothorax, and liver laceration after an in-vehicle traffic accident. Upon examining the patient, ptosis wa...
Retrospective Evaluation of Four-Year Acute Intoxication Cases Followed-up in Intensive Care Unit
Objective: Acute intoxication is a life-threatining clinical issue. Therefore, patients need follow-up in the intensive care unit (ICU). In this study, we aimed to evaluate the incidence, demographic characteristics, int...