Table 2 Ventilatory care
From: Impact of a VAP bundle in Belgian intensive care units
2010 | 2011 | 2013 | 2014 | 2015 | 2016 | p value | |
|---|---|---|---|---|---|---|---|
Previous NIV | 25 (19.4%) | 50 (17.1%) | 52 (18%) | 46 (17.4%) | 44 (16.2%) | 33 (20.9%) | 0.8685 |
Artificial airway | 0.0663 | ||||||
Oral intubation | 95 (75.4%) | 244 (83.3%) | 234 (81.2%) | 222 (83.8%) | 226 (83.4%) | 132 (83.5%) | |
Nasal intubation | 0 | 2 (0.7%) | 4 (1.4%) | 4 (1.6%) | 6 (2.2%) | 2 (1.3%) | |
Tracheostomy | 34 (26.4%) | 47 (16%) | 50 (17.4%) | 39 (14.7%) | 39 (14.4%) | 24 (15.2%) | |
Cuff | 0.0318 | ||||||
Polyvinyl | 74 (64.3%) | 166 (56.6%) | 170 (59%) | 143 (54%) | 158 (58.3%) | 110 (69.6%) | |
Polyurethane | 41 (36.7%) | 127 (43.3%) | 118 (41%) | 122 (46%) | 113 (41.7%) | 48 (30.4%) | |
Cuff pressure | < 0.0001 | ||||||
Not measured | 9 (7%) | 72 (24.6%) | 2 (0.7%) | 10 (3.8%) | 4 (1.5%) | 6 (3.8%) | |
< 20 cm H2O | 25 (19.4%) | 18 (6.1%) | 9 (3.1%) | 9 (3.4%) | 2 (0.7%) | 7 (4.4%) | |
20–30 cm H2O | 91 (70.5%) | 196 (66.9%) | 263 (91%) | 228 (86%) | 251 (92.6%) | 137 (86.7%) | |
> 30 cm H2O | 4 (3.1%) | 6 (2%) | 10 (3.5%) | 15 (5.7%) | 10 (3.7%) | 5 (3.2%) | |
Not inflated | 0 | 1 (0.3%) | 4 (1.4%) | 3 (1.1%) | (1.5%) | 3 (1.9%) | |
Suctioning system | < 0.0001 | ||||||
Opened | 76 (62.8%) | 236 (80.5%) | 204 (70.8%) | 171 (64.5%) | 205 (75.6%) | 120 (79.7%) | |
Closed | 45 (37.2%) | 57 (19.5%) | 84 (29.2%) | 94 (35.5%) | 66 (24.4%) | 38 (20.3%) | |
Subglottic suctioning | < 0.0001 | ||||||
Yes | 7 (5.8%) | 67 (22.9%) | 94 (32.6%) | 60 (22.6%) | 70 (25.8%) | 39 (24.7%) | |
No | 114 (94.2%) | 226 (77.1%) | 194 (69.2%) | 205 (77.4%) | 201 (74.2%) | 119 (75.3%) | |
Head position | < 0.0001 | ||||||
< 30° | 55 (44.4%) | 43 (14.7%) | 21 (7.3%) | 13 (4.9%) | 25 (9.2%) | 18 (11.4%) | |
> 30° | 67 (54.0%) | 249 (85%) | 262 (91%) | 249 (94%) | 245 (90.4%) | 140 (88.6%) | |
Prone position | 2 (1.6%) | 1 (0.3%) | 5 (1.7%) | 3 (1.1%) | 1 (3.7%) | 0 (0%) |