Tracheal pressures during open suctioning*

Dissemination of respiratory secretions during tracheal tube suctioning in an intensive care unit.

Most intensive care patients require frequent tracheal toilet, a procedure usually performed by suctioning the tracheal tube. Such procedures often result in the production and dissemination of droplets. We measured the distance visible droplets disseminated during tracheal tube suctioning of patients in an adult surgical intensive care unit. Fifty consecutive suction procedures in 14 patients ...

Tracheal suctioning without disconnection in intubated ventilated neonates.

BACKGROUND Assisted mechanical ventilation is the mainstay of management of a variety of conditions affecting the neonate. However there are a number of potential hazards associated with this life saving intervention. New suctioning techniques have been introduced into clinical practice which aim to prevent or reduce these untoward effects. OBJECTIVES To assess the effects of endotracheal suc...

Effect of tracheal suctioning on aspiration past the tracheal tube cuff in mechanically ventilated patients

UNLABELLED BACKGROUND This clinical study evaluated the effect of a suctioning maneuver on aspiration past the cuff during mechanical ventilation. METHODS Patients intubated for less than 48 hours with a PVC-cuffed tracheal tube, under mechanical ventilation with a PEEP ≥5 cm H2O and under continuous sedation, were included in the study. At baseline the cuff pressure was set at 30 cm H2O. ...

Influence of tracheal suctioning systems on health care workers' gloves and equipment contamination: a comparison of closed and open systems.

The impact of tracheal suctioning with an open or a closed system on equipment and health care workers contamination with multidrug-resistant pathogens was compared. Only the closed system reduced hand and equipment contamination during tracheal suctioning. This equipment could be systematically used to reduce risk of cross contamination in the intensive care unit.

Closed-system suctioning: why is the debate still open?