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 In this study, we investigated the causes of high respiratory resistance that is observed after general anesthesia. We focused on respiratory resistance at 5 Hz (R5), which were measured preoperatively and postoperatively. METHODS Our prospective observational study enrolled 68 patients who underwent transurethral resection of bladder tumors from April to October 2015. Respiratory ...

Evidence-based practices search for the best available scientific evidence to support problem solving and decision making. Because of the complexity and amount of information related to health care, the results of methodologically sound scientific papers must be integrated by performing literature reviews. Although endotracheal suctioning is the most frequently performed invasive procedure in i...

BACKGROUND Closed-circuit endotracheal suctioning (CES) is advocated for preventing hypoxemia caused by the loss of lung volume resulting from open endotracheal suctioning (OES). However, the efficiency of CES and OES on tracheal secretion removal has never been compared in patients with acute lung injury. The authors designed a two-part study aimed at comparing gas exchange and efficiency betw...

1. Bousarri MP, Shirvani Y, Agha‐Hassan‐Kashani S, Nasab NM. The effect of expiratory rib cage compression before endotracheal suctioning on the vital signs in patients under mechanical ventilation. Iran J Nurs Midwifery Res 2014;19:285‐9. 2. Kohan M, Rezaei‐Adaryani M, Najaf‐Yarandi A, Hoseini F, Mohammad‐Taheri N. Effects of expiratory ribcage compression before endotracheal suctioning on art...

AIM identify and analyze in the literature the evidence of randomized controlled trials on care related to the suctioning of endotracheal secretions in intubated, critically ill adult patients undergoing mechanical ventilation. METHOD the search was conducted in the PubMed, EMBASE, CENTRAL, CINAHL and LILACS databases. From the 631 citations found, 17 studies were selected. RESULTS Evidence...

Background: If not done properly, suction causes complications such as hypoxia, cardiac arrhythmias or even death. Suction is being used in most hospital wards. Closed Suction appears to have fewer side effects, although studies have reported dissimilar results. Aim: The aim of this study was to compare the effect of open (control) with closed (test) endotracheal suctioning on patients’ Hemodyn...

BACKGROUND During invasive mechanical ventilation, secretions accumulate in the subglottic space; consequently, there is a risk of aspiration of these secretions into the airway during cuff deflation and extubation. To minimize this risk, 2 extubation methods are used. The first consists of introducing a suction catheter into the endotracheal tube (ETT) and the trachea. After initiating suction...

This study was conducted to evaluate the effects of open endotracheal suctioning on gas exchange and respiratory mechanics in ARF patients under the modes of PCV or VCV. Ninety-six ARF patients were treated with open endotracheal suctioning and their variations in respiratory mechanics and gas exchange after the suctions were compared. Under PCV mode, compared with the initial level of tidal vo...

background: tick and tenacious secretions is one of the problems in suctioning and the instillation of normal saline in airways is one of the ways for removing pulmonary secretions. the aim of this study was to determine the effect of endotracheal suctioning using or not using normal saline on respiratory physiologic parameters in open heart surgery patients. methods: this study was a one-group...