Endotracheal suctioning of intubated patients is associated with hemodynamic complications including arterial hypoxemia, cardiac arrhythmias, hypotension and even death. Prior investigations of this subject focus primarily on arterial hypoxemia. Our observations of ETS revealed significant falls in the mixed SvO2 and we postulated that alterations in VO2 or CO must be occurring. This study was ...

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...

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...

Pupillary reflex measurement predict insufficient analgesia before endotracheal suctioning in critically ill patients Critical Care 2013, 17:R161 doi:10.1186/cc12840 Jerome Paulus ([email protected]) Antoine Roquilly ([email protected]) Hélène Beloeil ([email protected]) Julien Théraud ([email protected]) Karim Asehnoune ([email protected]) Corin...

OBJECTIVE To determine the effects of intrapulmonary percussive ventilation (IPV) on mucus clearance in tracheostomized Duchenne muscular dystrophy patients. METHODS We studied 8 patients, 5 of whom had mucus hypersecretion (> 30 mL/d). In a randomized, cross-over study we compared assisted mucus clearance techniques with and without IPV. There were 2 treatment sequences and each patient rece...

OBJECTIVES To compare the incidence of ventilator-associated pneumonia (VAP) with or without isotonic saline instillation before tracheal suctioning. As a secondary objective, we compared the incidence of endotracheal tube occlusion and atelectasis. DESIGN Randomized clinical trial. SETTING AND PATIENTS The study was conducted in a medical surgical intensive care unit of an oncologic hospit...

BACKGROUND Standard indications for endotracheal suctioning are often based on clinical judgment on the deterioration of the patient's condition, and/or routine suctioning. TBA Care is a secretion detector that analyses airway sounds and indicates the need for suctioning. OBJECTIVE To determine the efficacy of TBA Care in detecting retained secretions, compared to standard indications. METH...