The investigators are suggesting that closed suction systems may reduce the risk of the ventilator - associated pneumoniae (VAP) and the contamination of the closest unanimated surfaces. In 2011 David et al. have shown that closed suction systems might reduce the incidence of the late VAP. Research team is thinking that preventive bundle with closed suction systems can prevent to onset of the VAP. All enrolled patients is randomizing into two groups: control group - conventional suctioning and research group - suctioning with closed suction system.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
40
Closed suction systems are using for prevention of the ventilator-associated pneumoniae
The using of open (conventional) suctioning
State Budgetary Healthcare Institution of Arkhangelsk Region "Severodvinsk City Clinical Emergency Hospital # 2"
Severodvinsk, Russia
incidence of the ventilator - associated pneumoniae (VAP)
Assessment of CPIS, if CPIS equal or more 6 points VAP will be observed
Time frame: Change from Baseline CPIS at 96 hours
Contamination of closet inanimate surfaces
Microbiology researching samples from circuit of a respirator and a bed
Time frame: Change from Baseline Microbiology researching at 96 hours
Organ dysfunction
Patient examination with Sequential Organ Function Assessment (SOFA)
Time frame: Change from Baseline SOFA at 96 hours
Mortality
Mortality for 28 days of a hospitalization
Time frame: 28 days
C - reactive protein
Investigation of a Biomarker of the VAP
Time frame: Change from Baseline CRP researching at 96 hours
Procalcitonin
Investigation of a Biomarker of the VAP
Time frame: Change from Baseline CRP researching at 96 hours
sTREM 1
Investigation of a Biomarker of the VAP
Time frame: Change from Baseline CRP researching at 96 hours
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