A key part of caring for patients on respiratory systems is constant vigilance and excellent care of their breathing tubes and catheters in order to prevent ventilator-associated events (VAE). A VAE can sneak up on therapists even with improved antimicrobial therapy and other preventative measures.
Even if infection prevention specialists and respiratory therapists effectively follow guidelines to prevent infection in their patients, such as thorough hand washing, application of sterile gloves and masks, certain medical devices can still offer an improved cleaning process that may help to reduce bacterial colonization and risk of infection.
Manipulation of the ventilator circuit can increase cross-contamination – a leading cause of VAP1 and subsequently VAE.
To help protect patients, a closed ventilator circuit is recognized as a best practice in the prevention of VAP2 to maintain ventilation and oxygen therapy throughout suctioning, preventing approximately 50% of the lung volume fall observed when suctioning after disconnection from the ventilator.3 Closed suctioning is a best practice that protects patients and caregivers.
This is why we offer the Turbo-Cleaning Closed Suction Catheter (CSC) System, designed to improve catheter tip cleaning compared to [our TRACH CARE* 24-hour closed suction systems].1 In fact, in a microbiology laboratory study, researchers simulated the level of bacterial colonization in the respiratory secretions of a patient with pneumonia and the Turbo-Cleaning CSC showed an 89% reduction in four of the common respiratory pathogens at 72 hours than [our TRACH CARE* 24-hour closed suction systems]. The study examined four common respiratory pathogens – the Staphylococcus aureus, Pseudomonas aeruginosa, Klebsiella pneumonia, and Escherichia coli – and then compared their growth rate after the cleaning. the Avanos* Turbo-Cleaning CSC also allows for normal ventilation during catheter cleaning.
Avanos* Turbo-Cleaning CSC is the only catheter that retracts within a unique, isolated and vacuum-sealed turbulent cleaning chamber. The presence of such a valve should be considered essential in preserving lung volumes and uninterrupted ventilation in mechanically ventilated patients. Take a look at how the System flushes out the tubing in this video:
In treating respiratory health patients, infection preventionists and respiratory therapists understand that choosing the right devices may be as important as the other ways of preventing infection.
- Compared to Kimberly-Clark* TRACH CARE* 24-hour closed suction systems. See Kimberly-Clark* Critical Care Products TRACH CARE* 72 Microbiology Report, Nelson laboratories Final Reports, Laboratory Numbers 18343, 163901.1 Available from https://avanosmedicaldevices.com/wp-content/uploads/2018/07/closed-suction_microbiologyreport.pdf
- Hess DR, Kallstrom TJ, Mottram CD, Myers TR, Sorenson HM, Vines DL; American Association for Respiratory Care. Care of the ventilator circuit and its relation to ventilator-associated pneumonia.Respir Care. 2003 Sep;48(9):869-79.
- Maggiore SM, Lellouche F, Pigeot J, Taille S, Deye N, Durrmeyer X, Richard JC, Mancebo J, Lemaire F, Brochard L. Prevention of endotracheal suctioning-induced alveolar derecruitment in acute lung injury. Am J Respir Crit Care Med. 2003 May 1;167(9):1215-24.