The purpose of this case study is to analyze the significance of subglottic suction in prevention of ventilator associated pneumonia .The case study is linked to the competency no1(Respiratory). This study aims to assess the evidence available to prove the need of frequent subglottic suction of oropharyngeal secretion to prevent VAP in mechanically ventilated patients.
Mr. M was admitted to Intensive care Unit with multiple traumas to the head, face and lower limbs. The management consisted neurological for severe head injury, maxillofacial for facial injuries, orthopedics for fractured lower limbs. Mr. M was mechanically ventilated and given sedations and analgesics to facilitate the care.
Hinds and Watts (2008) define VAP as a nosocomial infection which arises between 48 hours and 72 hours in patients requiring mechanical ventilation for more than 48 hours. They suggest that this is because of the aspiration of secretions during Intubation and VAP occurring after 72 hours is mostly as the consequence of aspiration of infected secretion from the airway. VAP prolongs intensive care stay and increased risk of other complications associated with it. Lou sole M et al (2011) published a study about the …show more content…
Mr. M was facilitated with subglottic suction and reintubation with improvised type of endotracheal tube increased the accessibility. Our unit developed a protocol for prevention of VAP and subglottic suctioning every four hours is the main component of the