Critical Illness Clinical Trial
Official title:
Impact of Tracheal Cuff Shape on Microaspiration in Intensive Care Units
The investigators hypothesized that PVC tapered-cuff tracheal tubes would reduce microaspiration of gastric content as determined by pepsin level in tracheal aspirate.
Microaspiration is the main route for entry of contaminated secretions into the lower
respiratory tract of intubated critically ill patients. Tracheobronchial colonization might
progress to ventilator-associated pneumonia (VAP) when the quantity and virulence of bacteria
are high and when local and general host defenses are weak.
Recent in vitro and animal studies suggest that tapered-cuff tracheal tubes could be
associated with reduced microaspiration of contaminated secretions and might be helpful in
preventing VAP.
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