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    Is the evidence for the use of subglottic drainage to prevent ventilated-associated pneumonia sufficient to change practice?

    Access Status
    Fulltext not available
    Authors
    Williams, Teresa
    Date
    2012
    Type
    Journal Article
    
    Metadata
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    Citation
    Williams, T. 2012. Is the evidence for the use of subglottic drainage to prevent ventilated-associated pneumonia sufficient to change practice? Australian Critical Care. 25 (3): pp. 200-204.
    Source Title
    Australian Critical Care
    DOI
    10.1016/j.aucc.2012.03.001
    ISSN
    1036-7314
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/14018
    Collection
    • Curtin Research Publications
    Abstract

    This paper critiques the systematic review and meta-analysis of the effect of subglottic drainage among patients who received mechanical ventilation. Subglottic secretion drainage can reduce bacterial pathogens from entering the lower respiratory tract and potentially reduce the occurrence of ventilator-associated pneumonia. A summary of the systematic review and meta-analysis is provided. The critique examines the study's strengths and weaknesses and implications for practice are discussed. It is a well-conducted systematic review and meta-analysis with few suggestions for improvement. Subglottic secretion drainage reduced the incidence of ventilator-associated pneumonia. Several studies have shown positive effects of using subglottic drainage but despite the evidence, the practice in ICUs is not widespread. © 2012 Australian College of Critical Care Nurses Ltd.

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