Postoperative Pneumonia
Conditions
Keywords
after aortic surgery
Brief summary
The incidence of postoperative pneumonia after aortic surgery reaches 60%. In experimental lung model, endotracheal tube with taper-shaped cuff has been shown to decrease microaspiration. This effect has never been demonstrated in patients. The investigators hypothesize that use of endotracheal tube with taper-shaped cuff decreases the incidence of postoperative pneumonia in patients after aortic surgery.
Interventions
DEVICEEndotracheal tube TaperGuard
Patients are intubated by endotracheal tube with taper-shaped cuff (TaperGuard, Mallinckrodt)
DEVICEEndotracheal tube Hi-Contour Brandt
Patients are intubated by endotracheal tube with cylindrical-shaped cuff (Hi-Contour Brandt, Mallinckrodt)
Sponsors
Association pour la Recherche et la Formation en Anesthésie Analgésie Réanimation
Groupe Hospitalier Pitie-Salpetriere
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 ans * Elective aortic surgery * Admission in ICU after aortic surgery
Exclusion criteria
* Tracheostomized patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of first episode of postoperative pneumonia after aortic surgery | Within the first 28 days after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Microaspiration | Day 1 and day 2 |
| Length of ICU stay | Participants will be followed for the duration of ICU stay, an expected average of 3 weeks |
| Mortality | Day 28 and day 90 |
Countries
France
Outcome results
None listed