The impact of closed endotracheal suctioning systems on mechanical ventilator performance

Respiratory Care

Volumn 50, Issue 3, 2005, Pages 345-353

  El Masry, Ashraf ^a,b   Williams, Purris F ^a   Chipman, Daniel W ^a   Kratohvil, Joseph P ^a   Kacmarek, Robert M ^a,b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Airway suctioning; Closed suctioning; Lung model; Mechanical ventilators

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; ASSISTED VENTILATION; BREATHING RATE; ENDOTRACHEAL INTUBATION; INTENSIVE CARE; POSITIVE END EXPIRATORY PRESSURE; PRESSURE SUPPORT VENTILATION; SUCTION DRAINAGE; VENTILATOR; BIOLOGICAL MODEL; COMPARATIVE STUDY; EQUIPMENT; EQUIPMENT DESIGN; EVALUATION; INSTRUMENTATION; METHODOLOGY; SUCTION;

EQUIPMENT DESIGN; EQUIPMENT FAILURE; INTUBATION, INTRATRACHEAL; MODELS, BIOLOGICAL; RESPIRATION, ARTIFICIAL; SUCTION; VENTILATORS, MECHANICAL;

EID: 21544444434     PISSN: 00201324     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (17)

1. Brochard L, Mion G, Isabey D, Bertrand C, Messadi AA, Mancebo J, et al. Constant-flow insufflation prevents arterial oxygen desaturation during endotracheal suctioning. Am Rev Respir Dis 1991; 144(2):395-400.
2. Cereda M, Villa F, Colombo E, Greco G, Nacoti M, Pesenti A. Closed system endotracheal suctioning maintains lung volume during volume-controlled mechanical ventilation. Intensive Care Med 2001;27(4):648-654.
3. Maggiore SM, Lellouche F, Pigeot J, Taille S, Deye N, Durrmeyer X, et al. Prevention of endotracheal suctioning-induced alveolar de-recruitment in acute lung injury. Am J Respir Crit Care Med 2003; 167(9):1215-1224.
4. Carlon GC, Fox SJ, and Ackerman NJ. Evaluation of a closed-tracheal suction system. Crit Care Med 1987;15(5):522-525.
5. Brown SE, Stansbury DW, Merrill EJ, Linden GS, Light RW. Prevention of suctioning-related arterial oxygen desaturation: comparison of off-ventilator and on-ventilator suctioning. Chest 1983;83(4): 621-627.
6. Johnson KL, Kearney PA, Johnson SB, Niblett JB, MacMillan NL, McClain RE. Closed versus open endotracheal suctioning: costs and physiologic consequences. Crit Care Med 1994;22(4):658-666.
7. Deppe SA, Kelly JW, Thoi LL, Chudy JH, Longfield RN, Ducey JP, et al. Incidence of colonization, nosocomial pneumonia, and mortality in critically ill patients using a Trach Care closed-suction system versus an open-suction system: prospective randomized study. Crit Care Med 1990;18(12):1389-1393.
8. Taggart JA, Dorinsky NL, Sheahan JS. Airway pressures during closed system suctioning. Heart Lung 1988;17(5):536-542.
9. Monaco FJ, Meredith KS. A bench test evaluation of a neonatal closed tracheal suction system. Pediatr Pulmonol 1992;13(2):121-123.
10. Stenqvist O, Lindgren S, Karason S, Sondergaard S, Lundin S. Warning! Suctioning. A lung model evaluation of closed suctioning systems. Acta Anaesthesiol Scand 2001;45(2):167-172.
11. Strindlund M, Jonsson A. Safety alert letter, Siemens-Elema AB, 04-07-2002.
12. AARC clinical practice guideline. Endotracheal suctioning of mechanically ventilated adults and children with artificial airways. Respir Care 1993;38(5):500-504.
13. Rosen M, Hillard EK. The effects of negative pressure during tracheal suction. Anesth Analg 1962;41:50-57.
14. Tiffin NH, Keim MR, Frewen TC. The effects of variations in flow through an insufflating catheter and endotracheal-tube and suction catheter size on test-lung pressures. Respir Care 1990;35(9):889-897.
15. Frengley RW, Closey DN, Sleigh JW, Torrance JM. The effect of closed system suction on airway pressures when using the Servo 300 ventilator. Crit Care Resuscitation 2001;3:230-235. Available at http://som.flinders.edu.au/FUSA/ CriticalCare/JDecember01.htm#a. Accessed January 24, 2005.
16. Lee CK, Ng KS, Tan SG, Ang R. Effect of different endotracheal suctioning systems on cardiorespiratory parameters of ventilated patients. Ann Acad Med Singapore 2001;30(3):239-244.
17. Maggiore SM, Iacobone E, Zito G, Conti C, Antonelli M, Proietti R. Closed versus open suctioning techniques. Minerva Anesthesiol 2002; 68(5):360-364.