INTRODUCTION Postoperative sore throat is listed from the top as patients' most undesirable outcome in the postoperative period. It is believed to originate from mucosal dehydration or edema, tracheal ischemia secondary to the pressure of endotracheal tube cuffs, aggressive oropharyngeal suctioning, and mucosal erosion from friction between delicate tissues and the endotracheal tube. Even if th...

We describe a patient with lobar atelectasis who was successfully treated with airway pressure release ventilation (APRV) after failed attempts at recruitment with endotracheal suctioning, chest therapy, and bronchoscopy. We review the literature on the effectiveness of the various methods to treat lobar atelectasis. Mechanically ventilated patients have an ineffective cough refl ex and are una...

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 ...

background critically ill patients under mechanical ventilation require frequent suctioning of airway secretion. closed suction permits suctioning without disconnection from ventilator; so it might decrease hypoxemia and infection rate. objectives this study aimed to evaluate the effect of closed tracheal suction system (ctss) versus open tracheal suction system (otss). patients and methods thi...

background: learning of clinical skills in the intensive care unit (icu) is important for nursing students. “direct observation of procedural skills (dops)” is a modified objective method in the field of medical sciences, and we conducted this study with the aim of investigating the effect of evaluation using dops method on learning practical skills among nursing students in the icu. materials ...