Impact of the Addition of a Device Providing Continuous Pneumatic Regulation of Tube Cuff Pressure to an Overall Strategy Aimed at Preventing Ventilator-associated Pneumonia in the Severe Trauma Patient. A Multicentre, Randomised, Controlled Study.

Exclusion Criteria

• •Patient likely to die over the 48h following admission,
• •Nasotracheal intubation,
• •Patient intubated through a tracheal tube with subglottic secretion drainage
• •Intubation carried out 24h or more after the trauma,
• •Ventilation with tracheotomy,
• •Refusal to participate in the research,
• •Contraindication to the head-up position,
• •Participation in another research protocol focusing on an anti-infective treatment or on a measure decreasing the risk of infection,
• •Persons benefiting from reinforced protection or persons deprived of freedom subsequent to a legal or administrative decision, minors under legal protection