Liberating your patients from the ventilator is a constant struggle.
A significant amount of time patients spend on the ventilator is spent trying to take them off.
Biofilm buildup is found in nearly all endotracheal tubes, independent of time on the ventilator.
Buildups can happen quickly resulting in intraluminal volume loss that impacts airway resistance.
1. Esteban A, Ferguson ND, Meade MO, et al. Evolution of Mechanical Ventilation in Response to Clinical Research. Am J Respir CritCare Med. 2008;177:170-177. 2. Wilson AM, Gray DM, Thomas JG. Increases in Endotracheal Tube Resistance are Unpredictable Relative to Duration of Intubation. Chest. 2009;136(4):1006-1013. 3. Hurley JJ, Hensley JL. Physiology, Airway Resistance. [Updated 2019 Aug 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan –. Available from: https://www.ncbi.nlm.nih.gov/books/NBK542183/.