Use of tracheostomy tubes with removeable inner cannula to prevent ventilator-associated pneumonia (VAP)

INTERVENTION: Randomised controlled pilot study to investigate whether using a tracheostomy tube with a removeable inner cannula and cleaning this daily could reduce incidence of VAP due to re‐infection by an organism to which the patient has been previously exposed and reduce development of resistant organisms. CONDITION: Infections and Infestations: Pneumonia ; Infections and Infestations ; Pneumonia PRIMARY OUTCOME: Not provided at time of registration SECONDARY OUTCOME: Not provided at time of registration INCLUSION CRITERIA: 40 patients over 18 years, 20 with study tracheostomy tube and 20 with standard tracheostomy tube. Data to be analysed at this point.