Health&Care Online

Category Archives: Heart

We found that using CASS in patients undergoing MHS is a safe procedure that significantly reduces the antibiotic burden. In the population that was at high risk (ie those persons receiving MV for > 48h); CASS reduced the incidence and incidence density of VAP. It also reduced ICU stay’ duration of MV; and antibiotic consumption. VAP is a very severe disease that is associated with a high degree of mortality and few of the variables influencing mortality can be modified. The incidence and severity of VAP are particularly high in patients undergoing MHS. Data for …

Study Population Overall, 1,101 patients underwent MHS during the study period. Of them, 387 patients were excluded either because they did not give their consent (268 patients) or the consent could not be requested due to the emergent condition of the surgery (119 patients). Accordingly, 714 patients undergoing MHS were randomized immediately before undergoing anesthesia (24 patients were excluded from the study; CASS group, 359 patients; control group, 331 subjects). The exclusions were due to death during surgery or immediately after in 19 cases, and because the protocol was violated (ie, the wrong tube was …

Ventilator-associated pneumonia (VAP) is the most frequent infection occurring in patients who are admitted to the ICU. The accumulation of respiratory secretions in the subglottic space is a well-proven cause of VAP. Therefore, prevention should include the aspiration of secretions from the subglottic space, and techniques to avoid leakage between the tube and the tracheal wall. A conventional endotracheal tube (ETT) permits only intermittent aspiration of secretions through the central lumen, distal to the tracheal cuff, while new tubes with an independent dorsal lumen permit the continuous aspiration of secretions in the subglottic space. Only …