SESSION TITLE: Airway Management Posters
SESSION TYPE: Original Investigation Poster
PRESENTED ON: Wednesday, October 30, 2013 at 01:30 PM - 02:30 PM
PURPOSE: Routine endotracheal suctioning techniques are unable to remove adherent secretions and biofilm on the endotracheal (ET) tube, resulting in a narrowed airway, increased work of breathing, and colonization by ventilator associated pneumonia (VAP) organisms. The purpose of this study is to compare the effectiveness of removing adherent endotracheal tube secretions with the use of the EndOclear catheter prior to weaning trials compared to the effects of routine suctioning prior to weaning trials.
METHODS: This is a two year retrospective study of all adult patients, age 18 or older, admitted the Intensive Care Unit who were on the ventilator greater than 24 hours, and who meet the general criteria for the sedation awakening and weaning trials. 2011 ventilator days, ICU length of stay (LOS), hospital LOS, and VAP was compared with 2012 patients who had their endotracheal tubes cleared with the EndoClear catheter prior to the weaning trial.
RESULTS: 550 cases were reviewed during 2011 and 562 cases in 2012. Previous to the initiation of endotracheal tube being cleared with the EndoClear catheter ventilator days were 4.3, ICU LOS was 5.2, and hospital LOS was 9.3. After the initiation of the EndOclear tube there was a decrease in ventilator days by 1 day. ICU LOS decreased from 9.3 by 0.9 days and the hospital LOS decreased from 5.2 by 1 day. Our VAP rate went from 1.2 in 2011 to 0 in 2012 and continues to remain at 0. There was an estimates savings of $536,710 in 2012 with the use of the EndOclear catheter prior to weaning trials.
CONCLUSIONS: The removal of adherent endotracheal tube secretions with the use of the EndOclear catheter prior to weaning trials provides better patient care outcomes and provides a costs savings to the hospital.
CLINICAL IMPLICATIONS: Utilizing the EndOclear catheter is a safer, more effective way to remove adherent secretions and biofilm on the endotracheal tube then routine suctioning technique resulting in decreased time on the ventilator.
DISCLOSURE: The following authors have nothing to disclose: Linda Schofield, Gary Saurs
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