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Ventilator associated pneumonia (VAP) is a common complication in mechanically ventilated patients. It causes substantial morbidity and mortality, as well as substantial cost to the patients and healthcare systems. One of the major risk factors identified for risk of VAP is the aspiration of secretions from the oropharynx. One intervention aimed at decreasing the incidence of secretion aspiration is an endotracheal tube (ETT) that can be hooked up to suction, providing continuous subglottic suctioning. The purpose of this paper was to explore the use of continuous subglottic suctioning and its effects on the incidence of ventilator-associated pneumonia. Review of literature explored studies including randomized control trials and metaanalyses that measured the effects of continuous subglottic suction on the incidence of VAP as well as length of time on ventilator. This information was utilized to determine if there is a statistically significant difference in the rates of VAP with continuous subglottic suction as compared to traditional oral care measures. The review demonstrated that there was a statistically significant decrease in the rates of VAP in ventilated patients that receive continuous subglottic suctioning.


Physician Assistant Studies

Degree Name

Master of Physician Assistant Studies (MPAS)

First Advisor

Susan Kuntz

Publication Date



Intubation, Intratracheal; Pneumonia, Aspiration -- prevention & control; Pneumonia, Ventilator-Associated -- prevention & control; Postoperative Care -- methods; Postoperative Complications; Respiration, Artificial -- adverse effects; Suction -- methods; Comparative Study



Continuous Subglottic Suctioning of Intubated Patients in the ICU