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Audit of UK ventilator care bundles and discussion of subglottic secretion drainage

Fiona Baldwin1, Rebecca Gray1, Mandy Chequers1

  • 1Intensive Care Unit, Royal Sussex County Hospital, Eastern Road, Brighton, UK.

Nursing in Critical Care
|August 18, 2016
PubMed

Insights

Most UK intensive care units comply with ventilator care bundle recommendations. However, subglottic secretion drainage (SSD) implementation is low, leading to patient re-intubation.

Area of Science:

  • Critical Care Medicine
  • Infection Prevention and Control
  • Respiratory Care

Background:

  • The UK Department of Health recommends a ventilator care bundle to reduce ventilator-associated pneumonia.
  • Auditing compliance with these interventions is crucial for effective implementation.

Purpose of the Study:

  • To audit compliance with individual components of the UK's recommended ventilator care bundle.
  • To assess the implementation and logistics of subglottic secretion drainage (SSD).

Main Methods:

  • Two electronic surveys were distributed across the UK to critical care professionals.
  • The first survey assessed compliance with all ventilator care bundle components.
  • The second survey focused specifically on the use and implementation of SSD.

Main Results:

  • Over 95% of respondents work in units using a ventilator care bundle.
  • Compliance exceeded 85% for most bundle components.
  • Subglottic secretion drainage (SSD) compliance was significantly lower, at 47-53%.

Conclusions:

  • Most UK intensive care units adhere to the ventilator care bundle recommendations.
  • Subglottic secretion drainage (SSD) is not as widely implemented as other components.
  • Lack of suitable endotracheal tubes contributes to low SSD use and necessitates patient re-intubation.
Abstract

Keywords:
Critical carePatient care bundlesSubglottic secretion drainageVentilator-associated pneumonia

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