conclusions closed suction caused fewer disturbances in patients’ hemodynamic condition, took shorter time, and is more economical. therefore, this method can replace open suction method in caring of severely critically ill patients. results no significant differences were observed between the two suctioning methods in terms of mean systolic blood pressure (p = 0.075), diastolic blood pressure ...

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.

BACKGROUND Ventilator-associated pneumonia, common in critically ill patients, is associated with microaspiration of oropharyngeal secretions and may be related to suctioning and airway management practices. OBJECTIVES To describe institutional policies and procedures related to closed-system suctioning and airway management of intubated patients, and to compare practices of registered nurses...

objectives the current study aimed to compare the two methods based on the perceptions of the nurses working in neonatal intensive care units (nicu). patients and methods a comparative-descriptive study carried out on 35 nicu nurses in taleghani and al-zahra teaching hospitals in tabriz, iran, in 2013. data were collected by self-administered questionnaire (13 items). data analysis, including t...

BACKGROUND One of the measures to keep the airway open is suctioning of endotracheal tube in patients under ventilation. This procedure can be accompanied with some complications. Selection of appropriate method of suctioning can prevent incidence of acute complications. OBJECTIVES This study aimed to compare the effects of the open and closed system suctioning methods on blood pressure, mean...

OBJECTIVES To measure airway pressures during closed system suctioning with the ventilator set to three differing modes of ventilation. METHODS Closed system suctioning was conducted in 16 patients following cardiac surgery. Suctioning was performed using a 14 French catheter with a vacuum level of -500 cmH2O through an 8.0 mm internal diameter endotracheal tube. The lungs were mechanically v...

Endotracheal suctioning is reportedly essential to maintain patency of an artificial airway in intubated and mechanically ventilated patients. However, the effectiveness of endotracheal suctioning alone to maintain airway patency is unclear. Endotracheal suctioning may also be associated with short-term physiological complications, such as lung de-recruitment and resultant hypoxemia in patients...

BACKGROUND: Ventilator-associated pneumonia (VAP), a frequent nosocomial infection in the intensive care, is associated with considerable morbidity. Endotracheal suctioning is routinely performed in mechanically ventilated patients to clear secretions. This study assessed if there were advantages of closed endotracheal suctioning (CES) over open endotracheal suctioning (OES) with respect to cli...

Tracheobronchial suctioning is an essential part of routine care for mechanically ventilated patients. Closed, rather than open, suction catheters are preferred for their advantages, which include minimizing risk of hypoxemia and containment of potentially infected secretions during suctioning.1,2 A closed-suction catheter is situated between the endotracheal tube (ETT) and the Y-piece of the b...