Ventilator (endotracheal tube) associated pneumonia |
Increased risk after 3 or 4 days of ventilation |
Rare |
Additional work of breathing due to the endotracheal tube |
Yes (during spontaneous breathing and in case of inadequate compensation for the endotracheal tube) |
No |
Early and late tracheal damage |
Yes |
No |
Sedation |
Often necessary |
Rarely necessary |
Intermittent application |
Rarely possible |
Often possible |
Effective coughing possible |
No |
Yes |
Eating and drinking possible |
Difficult with tracheostomy, not possible with intubation |
Yes |
Communication possible |
Difficult |
Yes |
Upright body posture |
Limited feasibility |
Often possible |
Difficult weaning from ventilator |
10% to 20% |
Rare |
Airway access |
Direct |
Difficult |
Pressure sites on the face |
No |
Sometimes |
Back-breathing of CO2
|
No |
Rare |
Leakage |
Very little |
Usually present to a greater or lesser extent |
Aerophagy |
Very little |
Sometimes |