THỰC TRẠNG SỬ DỤNG ỐNG NỘI KHÍ QUẢN CÓ HÚT TRÊN BÓNG CHÈN (ỐNG HILO-EVAC) Ở BỆNH NHÂN THỞ MÁY

Abstract

Objective: To evaluate application the current status of endotracheal tube use with suction on cuff (HiLo-Evac. Method: a prospective descriptive study, data was collected all patients who use invasive ventilation via endotracheal intubation at the Intensive Care Center - Bach Mai Hospital during period from March 2023 to September 2023. Results: 105 patients were involved this study in which male/female ratio 2:1, the mean age was 57.72 ± 18.64, the common age group wá 60 – 80 years old. The most common cause of invasive mechanical ventilation was pneumonia with 56.2%. The rate of using HiLo-Evac NKQ tubes was 28.6%, mainly used at the Intensive Care Center with 86.7%. There was no difference in the depth of the endotracheal tube between the 2 types, the cuff pressure of the HiLo-Evac tube was smaller (18.80 ± 0.761 vs. 19.68 ± 0.98, with p = 0.00). The rate of ventilator-associated pneumonia in the group using HiLo-Evac tubes was lower (10% vs. 40% with p = 0.002). No significant complications were noted when using the two types of endotracheal tubes. Conclusion: The use of the HiLo-Evac NKQ tube was relatively safe and tended to reduce the rate of VAP as well as the number of days on mechanical ventilation, however the use of the HiLo-Evac NKQ tube did not show an improvement in the rate of adverse outcomes/mortality.