Journal article
Airway care interventions for invasively ventilated critically ill adults: A Dutch national survey
- Abstract:
- Airway care interventions may prevent accumulation of airway secretions and promote their evacuation, but evidence is scarce. Interventions include heated humidification, nebulization of mucolytics and/or bronchodilators, manual hyperinflation and use of mechanical insufflation-exsufflation (MI-E). Our aim is to identify current airway care practices for invasively ventilated patients in intensive care units (ICU) in the Netherlands. A self–administered web-based survey was sent to a single pre–appointed representative of all ICUs in the Netherlands. Response rate was 85% (72 ICUs). We found substantial heterogeneity in the intensity and combinations of airway care interventions used. Most (81%) ICUs reported using heated humidification as a routine prophylactic intervention. All (100%) responding ICUs used nebulized mucolytics and/or bronchodilators; however, only 43% ICUs reported nebulization as a routine prophylactic intervention. Most (81%) ICUs used manual hyperinflation, although only initiated with a clinical indication like difficult oxygenation. Few (22%) ICUs used MI-E for invasively ventilated patients. Use was always based on the indication of insufficient cough strength or as a continuation of home use. In the Netherlands, use of routine prophylactic airway care interventions is common despite evidence of no benefit. There is an urgent need for evidence of the benefit of these interventions to inform evidence-based guidelines.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, 572.8KB, Terms of use)
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- Publisher copy:
- 10.3390/jcm10153381
Authors
- Publisher:
- MDPI
- Journal:
- Journal of Clinical Medicine More from this journal
- Volume:
- 10
- Issue:
- 15
- Article number:
- 3381
- Publication date:
- 2021-07-30
- Acceptance date:
- 2021-07-17
- DOI:
- EISSN:
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2077-0383
- Pmid:
-
34362165
- Language:
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English
- Keywords:
- Pubs id:
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1190520
- Local pid:
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pubs:1190520
- Deposit date:
-
2022-01-11
Terms of use
- Copyright holder:
- Stilma et al.
- Copyright date:
- 2021
- Rights statement:
- © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
- Licence:
- CC Attribution (CC BY)
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