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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%)  
  1. NIV Noninvasive ventilation