Continuous cuff pressure monitoring linked to lower pediatric VAP rates

A randomized controlled trial compared continuous automatic endotracheal cuff pressure monitoring (CACPM) with intermittent manual monitoring (IMCPM) in 241 mechanically ventilated pediatric ICU patients. The trial reported lower ventilator-associated pneumonia incidence with CACPM than IMCPM (13.3% vs 24.0% in intention-to-treat analysis) and higher compliance with target cuff pressure in the CACPM group. The trial authors noted the preventive effect appeared linked to improved target pressure compliance.

Most relevant for: Critically ill pediatric patients requiring mechanical ventilation for 48 hours or more in the intensive care unit.

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