The impact of endotracheal suctioning on gas exchange and hemodynamics during lung-protective ventilation in acute respiratory distress syndrome

Respiratory Care

Volumn 51, Issue 5, 2006, Pages 497-502

  Caramez, Maria Paula ^a,b   Schettino, Guilherme ^d   Suchodolski, Klaudiusz ^c   Nishida, Tomoyo ^e   Harris, R Scott ^a,b   Malhotra, Atul ^b,f,g   Kacmarek, Robert M ^a,b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c UNIVERSITY HOSPITAL ERLANGEN   (Germany)

^d HOSPITAL SÍRIO LIBANÊS   (Brazil)

^e OSAKA UNIVERSITY HOSPITAL   (Japan)

^f BRIGHAM AND WOMEN S HOSPITAL   (United States)

^g BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

Author keywords

Airway suctioning; Closed suctioning; Intensive care; Lung protective ventilation; Open suctioning; Ventilator

Indexed keywords

OXYGEN;

ADULT RESPIRATORY DISTRESS SYNDROME; ANIMAL EXPERIMENT; ANIMAL MODEL; ARTERIAL GAS; ARTICLE; ARTIFICIAL VENTILATION; BLOOD PRESSURE REGULATION; CONTROLLED STUDY; EVALUATION; FEMALE; GAS EXCHANGE; INTERMETHOD COMPARISON; LUNG ARTERIOVENOUS SHUNT; LUNG ARTERY PRESSURE; LUNG HEMODYNAMICS; LUNG LAVAGE; LUNG PRESSURE; LUNG VOLUME; NONHUMAN; OXYGEN SATURATION; OXYGENATION; POSITIVE END EXPIRATORY PRESSURE; PROTECTION; SHEEP; TIDAL VOLUME; TRACHEOBRONCHIAL TOILET; UNIVERSITY HOSPITAL; ANIMAL; BLOOD GAS ANALYSIS; COMPARATIVE STUDY; CROSSOVER PROCEDURE; ENDOTRACHEAL INTUBATION; HEMODYNAMICS; LUNG; LUNG GAS EXCHANGE; LUNG VENTILATION; METHODOLOGY; PHYSIOLOGY; SUCTION; UNITED STATES;

ANIMALS; BLOOD GAS ANALYSIS; CROSS-OVER STUDIES; FEMALE; HEMODYNAMIC PROCESSES; INTUBATION, INTRATRACHEAL; LUNG; MASSACHUSETTS; PULMONARY GAS EXCHANGE; PULMONARY VENTILATION; RESPIRATORY DISTRESS SYNDROME, ADULT; SHEEP; SUCTION;

EID: 33750124748     PISSN: 00201324     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (22)

1. Dreyfuss D, Basset G, Soler P, Saumon, G. Intermittent positive-pressure hyperventilation with high inflation pressures produces pulmonary microvascular injury in rats. Am Rev Respir Dis 1985;132(4):880-884.
2. Muscedere JG, Mullen JB, Gan K, Slutsky AS. Tidal ventilation at low airway pressures can augment lung injury. Am J Respir Crit Care Med 1994;149(5):1327-1334.
3. Dreyfuss D, Saumon G. Ventilator-induced injury. In: Tobin MJ, editor. Principles and practice of mechanical ventilation. New York: McGraw-Hill; 1994: 793-811.
4. Dreyfuss D, Saumon G. Ventilator-induced lung injury: lessons from experimental studies. Am J Respir Crit Care Med 1998;157(1):294-323.
5. International consensus conferences in intensive care medicine. Ventilator-associated lung injury in ARDS. This official conference report was cosponsored by the American Thoracic Society, The European Society of Intensive Care Medicine, and The Societe de Reanimation de Langue Francaise, and was approved by the ATS Board of Directors, July 1999. Am J Respir Crit Care Med 1999;160(6):2118-2124.
6. 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.
7. 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.
8. Maggiore SM, Lellouche F, Pigeot J, Taille S, Deye N, Durrmeyer X, et al. Prevention of endotracheal suctioning-induced alveolar derecruitment in acute lung injury. Am J Respir Crit Care Med 2003;167(9):1215-1224.
9. Lu Q, Capderou A, Cluzel P, Mourgeon E, Abdennour L, Law-Koune JD, et al. A computed tomographic scan assessment of endotracheal suctioning-induced bronchoconstriction in ventilated sheep. Am J Respir Crit Care Med 2000;162(5):1898-1904.
10. Dyhr T, Bonde J, Larsson A. Lung recruitment manoeuvres are effective in regaining lung volume and oxygenation after open endotracheal suctioning in acute respiratory distress syndrome. Crit Care 2003;7(1):55-62.
11. El Masry A, Williams PF, Chipman DW, Kratohvil JP, Kacmarek RM. The impact of closed endotracheal suctioning systems on mechanical ventilator performance. Respir Care 2005;50(3):345-353.
12. Lindgren S, Almgren B, Hogman M, Lethvall S, Houltz E, Lundin S, Stenqvist O. Effectiveness and side effects of closed and open suctioning: an experimental evaluation. Intensive Care Med 2004;30(8):1630-1637.
13. Ruppel GL. Manual of pulmonary function testing, 8th ed. St Louis: Mosby; 2003: 95-127.
14. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342(18):1301- 1308.
15. Duggan M, McCaul CL, McNamara PJ, Engelberts D, Ackerley C, Kavanagh BP. Atelectasis causes vascular leak and lethal right ventricular failure in uninjured rat lungs. Am J Respir Crit Care Med 2003;167(12):1633-1640.
16. Verra F, Hmouda H, Rauss A, Lebargy F, Cordonnier C, Bignon J, et al. Bronchoalveolar lavage in immunocompromised patients: clinical and functional consequences. Chest 1992;101(5):1215-1220.
17. Benzel EC, Mashburn JP, Conrad S, et al. Apnea testing for the determination of brain death: a modified protocol. J Neurosurg 1992;76(5):1029-1031.
18. Robinson TD, Freiberg DB, Regnis JA, Young IH. The role of hypoventilation and ventilation-perfusion redistribution in oxygen-induced hypercapnia during acute exacerbations of chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2000;161(5):1524-1529.
19. 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.
20. Maggiore SM, Iacobone E, Zito G, Conti C, Antonelli M, Proietti R. Closed versus open suctioning techniques. Minerva Anestesiol 2002;68(5):360-364.
21. 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.
22. 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.