Saturday 12 December 2015

The Intermittent Aspirations Of Subglottic Secretions Method

By Marci Nielsen


Many infections are associated with the intensive care unit (ICU). This nosocomial condition increases the costs at the hospital for an individual case. Ventilator-associated pneumonia (VAP) is due to the accumulated discharges at the cuff and endotracheal tube (ETT). When planning to prevent the condition, consider reducing their accumulation, draining, and creating leakages between the tracheal wall and tube. You can opt for intermittent aspirations of subglottic secretions to remove the liquids.

Other methods are also applicable to reducing the occurrence of VAP like Hi Lo evac ETT. This method is not used in many hospitals, as it requires a highly profiled team to conduct it. Mechanically ventilated patients are intubated with the ETT before they are admitted to ICU. The standard ETT used in many hospitals cannot remove the accumulated fluids.

Choose a well-established clinic that has all the facilities to take care of patients with these problems. Respiratory conditions are risky as they make the patient weak and prone to infection of other diseases. Select a clean ward for them during their stay at the hospital. In most cases, they will have to stay in the hospital for a couple of days for review and examination.

The family doctor will determine the condition of your child and refer them to a specialist. Specialists who handle the respiratory problems are highly trained, as the problems are very sensitive. Consider a hospital that has a good reputation for treating this condition. Use recommendations from friends and relatives. Referrals from your family doctor are the most reliable ones as they have experience with these service providers.

The suctioning helps to create a positive pressure that causes lung hyperinflation. This pressure is applied by the creation of an inspiratory pause that allows the use of pause key, inspiratory hold, or the ambu bag. The cuff is then deflated to air to flow upward across the deflated cuff. This drives the liquids toward the oropharynx to give room for the cleaning of the liquids using the oropharyngeal fluids.

This procedure is currently the most effective method of preventing VAP. It removes and clears all the fluids. The pause key allows the ventilator to seal the breathing circuit of the patient at the end of the gas delivery stage. The respiratory pause maneuver helps in maintaining the inflated state of your lungs. It offers a means to measure the static of the lung-thoracic, plateau pressure, and the static resistance.

Choose an insurance cover that will cater for all these costs. Discuss with your insurer on the best premium to purchase. Using personal savings for the procedure can cause financial distress as the process is very expensive. Your personal doctor can also help you determine the best cover for this process.

Check on the equipment used to ascertain they are fit. Medical providers concerned should be in a position to use these tools. Consider checking on the condition of your patient while undergoing the treatment. Agree with the provider on the method to use in removing and clearing the liquids.




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