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Policies for Endotracheal Suctioning of Patients Receiving Mechanical Ventilation: A Systematic Review of Randomized Controlled Trials

Published online by Cambridge University Press:  02 January 2015

B. S. Niël-Weise ,
R. L. M. M. Snoeren  and
P. J. van den Broek
B. S. Niël-Weise*
Affiliation:
Dutch Working Party on Infection Prevention, Leiden
R. L. M. M. Snoeren
Affiliation:
St. Elisabeth Ziekenhuis, Tilburg, The Netherlands
P. J. van den Broek
Affiliation:
Department of Infectious Diseases, Leiden University Medical Center, Leiden
*
Office of the Dutch Working Party on Infection Prevention, C9-43 P.O. Box 9600, 2300 RC Leiden, The Netherlands ([email protected])
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Abstract

Objective.

The Dutch Working Party on Infection Prevention (Werkgroep Infectiepreventie [WIP]) aimed to determine whether certain policies on endotracheal suctioning are better than others in terms of prevention of ventilator-associated pneumonia (VAP) in patients receiving mechanical ventilation in the intensive care unit.

Methods.

Publications were retrieved by a systematic search of Medline and the Cochrane Library for literature published before February 2006. Additionally, the reference lists of all identified trials were examined. All randomized trials, quasi-randomized trials, and systematic reviews or meta-analyses of randomized or quasi-randomized trials that compared different policies on endotracheal suctioning for patients receiving mechanical ventilation in the intensive care unit were selected. Two reviewers independently assessed trial quality and extracted data. Disagreements were resolved by discussion with a third reviewer. Data from the original publications were used to calculate the relative risk of VAP. Data for VAP were combined in the analysis where appropriate, by use of a random-effects model.

Results.

Ten trials were included in the review. The quality of the trials and the way they were reported were generally unsatisfactory. Eight low-quality trials indicate that use of closed instead of open suction systems has no effect on the incidence of VAP. Two moderate-quality trials indicate that changing in-line suction catheters less frequently than every 24 hours does not increase the incidence of VAP.

Conclusion.

The WIP recommends that there be no preferential use of either open or closed endotracheal suction systems to reduce the rate of VAP, but it elucidates that the quality of the evidence is low. Considerations other than prevention of VAP should determine the choice of the suction system. When closed systems are used, the WIP recommends changing the in-line suction catheters every 48 hours. In case of mechanical failure or soiling of the suction system, they may be changed more frequently.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 5 , May 2007 , pp. 531 - 536
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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