The need to reduce ventilator associated events is the primary reason the Shiley™ evac oral endotracheal tube with TaperGuard™ cuff is critical for all patients on a ventilator in the ICU.
Subglottic secretion drainage (SSD) helps remove oral and/or gastric secretions from above the endotracheal tube cuff before they can be aspirated. Such aspirations may lead to a very serious complication known as VAP or Ventilator Associated Pneumonia.
SSD must be done with a specialised endotracheal tube with a separate dorsal suction lumen located just above the cuff. Based upon clinical evidence, the following organisations recommend the use of SSD to reduce the incidence of VAP: