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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Closed suction systems | Experimental |
| |
| Open (conventional) suction | Other | control group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Closed suction systems | Device | Closed suction systems are using for prevention of the ventilator-associated pneumoniae |
|
| Measure | Description | Time Frame |
|---|---|---|
| incidence of the ventilator - associated pneumoniae (VAP) | Assessment of CPIS, if CPIS equal or more 6 points VAP will be observed | Change from Baseline CPIS at 96 hours |
| Contamination of closet inanimate surfaces | Microbiology researching samples from circuit of a respirator and a bed | Change from Baseline Microbiology researching at 96 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Organ dysfunction | Patient examination with Sequential Organ Function Assessment (SOFA) | Change from Baseline SOFA at 96 hours |
| Mortality | Mortality for 28 days of a hospitalization |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| State Budgetary Healthcare Institution of Arkhangelsk Region "Severodvinsk City Clinical Emergency Hospital # 2" | Severodvinsk | 164522 | Russia |
All IPD that underlie results in a publication
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| Conventional suction system | Device | The using of open (conventional) suctioning |
|
| 28 days |
| C - reactive protein | Investigation of a Biomarker of the VAP | Change from Baseline CRP researching at 96 hours |
| Procalcitonin | Investigation of a Biomarker of the VAP | Change from Baseline CRP researching at 96 hours |
| sTREM 1 | Investigation of a Biomarker of the VAP | Change from Baseline CRP researching at 96 hours |
| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D010182 | Pancreatic Diseases |
| D000081084 | Accidental Injuries |
| D012640 | Seizures |
| D004660 | Encephalitis |
| D059413 | Intraabdominal Infections |
| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
| D004066 | Digestive System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000090862 | Neuroinflammatory Diseases |
| D007239 | Infections |
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