Tracheal suctioning without disconnection in intubated ventilated neonates

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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...

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Morphine Pharmacodynamics in Mechanically Ventilated Preterm Neonates Undergoing Endotracheal Suctioning

To date, morphine pharmacokinetics (PKs) are well quantified in neonates, but results about its efficacy are ambiguous. This work presents an analysis of a previously published study on pain measurements in mechanically ventilated preterm neonates who received either morphine or placebo to improve comfort during invasive ventilation. The research question was whether morphine reduces the pain a...

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[Profile of opioid prescriptions for intubated and mechanically ventilated neonates].

OBJECTIVE To identify factors that affect the decision of prescribing opioids for intubated and ventilated neonates. MATERIAL AND METHOD Retrospective study of intubated and ventilated newborn infants for periods longer than one hour, admitted to the NICU from January 1995 to June 1997. During this period, 203 patients fulfilled inclusion criteria and data of 176 charts were reviewed. Charts ...

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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. ...

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Instillation of normal saline before suctioning reduces the incidence of pneumonia in intubated and ventilated adults.

QUESTION Does the instillation of normal saline before suctioning reduce the incidence of ventilator-associated pneumonia in intubated and ventilated adults? DESIGN Randomised, controlled trial with blinded outcome assessment. SETTING The medical/surgical intensive care unit of a tertiary oncology hospital in Brazil. PARTICIPANTS Adults expected to require at least 72 hours of mechanical ...

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ژورنال

عنوان ژورنال: Cochrane Database of Systematic Reviews

سال: 2011

ISSN: 1465-1858

DOI: 10.1002/14651858.cd003065.pub2