Respiratory infections in ventilated patients are serious complications which lead to an increase in ventilator days, a longer length of stay on the ICU and an increase in mortality, and therefore we should welcome each initiative to diminish these complications. Spapen et al. suggest in this issue that a special form of respiratory therapy, the combination of intrapulmonary percussive ventilation (IPV) with assisted autogenic drainage physiotherapy (AADP) tends to decrease the occurrence of ventilator-associated Gram-negative infections.(2) However, this study is small and underpowered and the study population is unbalanced, which makes it difficult to assess the value of this pilot. A much larger study would be required to be able to draw any definite conclusions. In addition, there are several other problems with this pilot study, a number of which are neatly addressed by the authors.
|Number of pages||2|
|Journal||Netherlands Journal of Critical Care|
|Publication status||Published - 1 Mar 2016|