Critical Care/Respiratory CareNew Devices for Ventilator-associated Pneumonia PreventionLorente, Leonardo MD, PhDAuthor Information Intensive Care Unit, Hospital Universitario de Canarias, Tenerife, Spain Address correspondence to: Leonardo Lorente, MD, PhD, Intensive Care Unit, Hospital Universitario de Canarias, C/ Ofra s/n, La Laguna, Tenerife 38320, Spain. e-mail: [email protected]. Financial interest: none. Search strategy: Medline searches of publications in English from 1966 to 2010 for the major topic headings “ventilator-associated pneumonia,” “aspiration of subglottic secretions,” “ultrathin cuff membrane cuff,” “low volume/low-pressure cuff,” “cuff pressure,” “coated tube,” “biofilm.” References were selected on the basis of the bearing of their results on prevention. Clinical Pulmonary Medicine: January 2011 - Volume 18 - Issue 1 - p 29-33 doi: 10.1097/CPM.0b013e318203e389 Buy Metrics Abstract Ventilator-associated pneumonia (VAP) continues to be an important cause of morbidity and mortality in critically ill patients and increased healthcare costs. Recently, new evidence in the use of an endotracheal tube with subglottic secretion drainage and new devices to VAP prevention has been introduced. This study focuses on the use of an endotracheal tube with subglottic secretion drainage, an ultrathin cuff membrane, a tapered cuff, a low-volume/low-pressure cuff, a device to maintain inflation pressure of the cuff constant, a device to remove a biofilm with a balloon, and a tube coated with antimicrobial agents to prevent VAP. © 2011 Lippincott Williams & Wilkins, Inc.