Facultade de Fisioterapia

Randomised clinical trial to compare two tracheotomy care methods in an Intensive Care Unit

Fernández García, C.; Alonso Rodríguez, A.; Wensell Fernández, A.; Martínez Camblor, Pablo; Suárez Mier, M.B.; Arenas Fernández, J.; Linares Gutiérrez, B.; Clavero Ballester, N.
Abstract:
Introduction: Tracheotomy is a common technique in Intensive Care Units (ICU). It is known that nursing care during and after that procedure is directly related to its success, by reducing the possible complications to a minimum, such as the stoma infection, and contributing to a favourable outcome in critical patients. Objectives: To compare the use of polyhexanide (PLX) versus saline+povidone iodine (PY) as antiseptics and infection incidence in tracheostomies performed in Intensive Care Units. Material and method: A 2-year, experimental, randomised, open-label trial carried out in a multidiscipline ICU with 32 beds. The study was approved by the Research Ethics Committee of Principality of Asturias. Results: The overall infection rate observed for every hundred patients was 1.34 (95% CI; 0.81-2.01), with 1.46 when using PLX and 1.21 for PY (P=.685). Conclusions: In spite of the experimental treatment (PLX) was shown to be effective in other types of wounds in our study. No significant differences were found between this technique and the standard one. Since there is no national registry of tracheotomy- associated infections, it is not possible to know whether the rate observed is within the usual parameters.
Year:
2016
Type of Publication:
Article
Journal:
Enfermeria Intensiva
Volume:
27
Number:
1
Pages:
4-12
Month:
January
DOI:
https://doi.org/10.1016/j.enfi.2015.10.003
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