What mechanism has been found to be useful in minimizing the development of pneumonia asso-ciated with intubated patients?
a. Elevation of the head of the bed
b. Frequent suctioning through the endotra-cheal tube
c. Maintaining the patient on severe fluid restriction
d. Use of tracheal gas insufflation
ANS: A
In intubated patients, chronic aspiration of colonized secretions through a tracheal cuff has been linked to the subsequent occurrence of pneumonia, which has led to the development of novel strategies to prevent hospital-acquired pneumonia, such as continuous suctioning of subglottic secretions in mechanically ventilated patients and elevation of the head of the bed.
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Fill in the blank(s) with the appropriate word(s).
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