Updating the evidence base for suctioning adult patients: A systematic review

Canadian Respiratory Journal

Volumn 16, Issue 3, 2009, Pages

  Overend, Tom J ^a   Anderson, Cathy M ^b   Brooks, Dina ^c   Cicutto, Lisa ^d   Keim, Michael ^e   McAuslan, Debra ^b   Nonoyama, Mika ^f  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b LONDON HEALTH SCIENCES CENTRE   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

^d NATIONAL JEWISH MEDICAL AND RESEARCH CENTER   (United States)

^e ST JOSEPH S HEALTH CENTRE   (Canada)

^f TORONTO REHABILITATION INSTITUTE   (Canada)

Author keywords

Adult; Airway; Endotracheal; Suction; Systematic review

Indexed keywords

ALFENTANIL; DICHROMATE POTASSIUM; FENTANYL; MIDAZOLAM; PROPOFOL; REMIFENTANIL; SODIUM CHLORIDE;

ARTERIAL OXYGEN SATURATION; ARTERIAL OXYGEN TENSION; ARTIFICIAL VENTILATION; CLOSED SUCTION; HUMAN; HYPERINFLATION; HYPEROXIA; INFECTION CONTROL; INTERMETHOD COMPARISON; LUNG COMPLIANCE; MINIMALLY INVASIVE PROCEDURE; OPEN SUCTION; PRACTICE GUIDELINE; PRIORITY JOURNAL; REVIEW; SUBGLOTTIC SUCTION; SUCTION; TREATMENT INDICATION;

EID: 70350180376     PISSN: 11982241     EISSN: None     Source Type: Journal    
DOI: 10.1155/2009/872921     Document Type: Review

References (53)

1. AARC Clinical Practice Guideline. Endotracheal suctioning of mechanically ventilated adults and children with artificial airways. Respir Care 1993;38:500-4.
2. AARC Clinical Practice Guideline. Suctioning of the patient in the home. Respir Care 1999;44:99-104.
3. Thompson L. Suctioning adults with an artificial airway. The Joanna Briggs Institute for Evidence Based Nursing and Midwifery. Systematic Review 9, 2000 (Version current at May 19, 2009).
4. Brooks D, Anderson CM, Carter MA, et al. Clinical practice guidelines for suctioning the airway of the intubated and nonintubated patient. Can Respir J 200 1;8:163-81.
5. Anderson CM, Overend TJ, Lucy SD. Changing practice through a systematic review: Reflections from experience. Physiother Can 2002;54:186-98, 205.
6. Nonoyama ML, Brooks D, Lacasse Y, Goldstein RS, Guyatt GH. Oxygen therapy for exercise training or rehabilitation in chronic obstructive pulmonary disease (Protocol) The Cochrane Database of Syst Rev CD005372.
7. Bourgault AM, Brown CA, Hains SM, Parlow JL. Effects of endotracheal tube suctioning on arterial oxygen tension and heart rate variability. Biol Res Nurs 2006;7:268-78.
8. Maggiore SM; Lellouche F, Pigeot J, et al. Prevention of endotracheal suctioning-induced alveolar derecruitment in acute lung injury. Am J Respir Crit Care Med 2003;167;1215-24.
9. Demir F, Dramali A. Requirement for 100% oxygen before and after closed suction. J Adv Nurs 2005;51:245-51.
10. Akgul S, Akyolcu N. Effects of normal saline on endotracheal suctioning. J Clin Nurs 2002;11:826-30.
11. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of randomized controlled trials: Is blinding necessary? Control Clin Trials 1996;17:1-12.
12. Maher CG, Sherrington C, Herbert RD, Mosely AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther 2003;83:713-21.
13. Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas 1960;20:37-46.
14. Uebersax, J. Calculating Kappa with SAS. (Version current at May 7, 2007).
15. Guglielminotti J, Alzieu M, Maury E, Guidet B, Offenstadt G. Bedside detection of retained tracheohronchial secretions in patients receiving mechanical ventilation: Is it time for tracheal suctioning? Chest 2000;118:1095-9.
16. Barker M, Adams S. An evaluation of a single chest physiotherapy treatment on mechanically ventilated patierq with acute lung injury. Physiother Res Inter 2002;7:157-69.
17. Choi JS, Jones AY. Effects of manual hyperinflation and suctioning on respiratory mechanics in mechanically ventilated patients with ventilator-associated pneumonia. Aust J Physiother 2005;51:25-30.
18. Berney S, Denehy L. A comparison of the effects of manual and ventilator hyperinflation on static lung compliance and sputum production in intubated and ventilated intensive care patients. Physiother Res Inter 2002;7:100-8.
19. Metz C, Bein T, Sembach M, Taeger K. Maintaining positive airway pressure combined with final hyperinflation improves arterial oxygenation after tracheal suctioning in patients with acute respiratory failure. Clin Intensive Care 1996;7:131-7.
20. 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;27:648-54.
21. Combes P, Fauvage B, Oleyer C. Nosocomial pneumonia in mechanically ventilated patients, a prospective randomized evaluation of the Stericath closed suctioning system. Intensive Care Med 2000;26:878-82.
22. Lorente L, Lecuona M, Jimenez A, Mora ML, Sierra A. Tracheal suction by closed system without daily change versus open system. Intensive Care Med 2006;32:538-44.
23. Lorente L, Lecuona M, Martin MM, Garcia C, Mora ML, Sierra A. Ventilator-associated pneumonia using a closed versus an open tracheal suction system. Crit Care Med 2005;33:115-9.
24. Rabitsch W, Kostler WJ, Fiebiger W, et al. Closed suctioning system reduces cross-contamination between bronchial system and gastric juices. Anesth Analg 2004;99:886-92.
25. Topeli A, Harmanci A, Cetinkaya Y, Akdeniz S, Unal S. Comparison of the effect of closed versus open endotracheal suction systems on the development of ventilator-associated pneumonia. J Hosp Infect 2004;58:14-9.
26. Niël-Weise BS, Snoeren RL, van den Broek PJ. Policies for endotracheal suctioning of patients receiving mechanical ventilation: A systematic review of randomized clinical trials. Infect Control Hosp Epidemiol 2007;28:531-6.
27. Lasocki S, Lu Q, Sartorius A, Fouillat D, Remerand F, Rouby JJ. Open and closed-circuit endotracheal suctioning in acute lung injury: Efficiency and effects on gas exchange. Anesthesiology 2006;104:39-47.
28. 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;30:239-44.
29. Darvas JA, Hawkins LG. The closed tracheal suction catheter 24 hour or 48 hour change? Aust Crit Care 2002;16:86-8,90-2.
30. Quirke S. A comparative study of the incidence of nosocomial colonization in patients with closed suction catheter changes at 24 versus 48 hours. Crit Care III 1998;14:116,118-20.
31. Smulders K, van der Hoeven H, Weers-Pothoff I, Vandenbroucke-Grauls C. A randomized clinical trial of intermittent subglottic secretion drainage in patients receiving mechanical ventilation. Chest 2002;121:858-62.
32. Girou E, Buu-Hoi A, Stephan F, et al. Airway colonization in long-term mechanically ventilated patients. Effect of semi-recumbent position and continuous subglottic suctioning. Intensive Care Med 2004;30:225-33.
33. Kollef MH, Skubas NJ, Sundt TM. A randomized clinical trial of continuous aspiration of subglottic secretions in cardiac surgery patients. Chest 1999;116:1339-46.
34. Siobal M, Kallet RH, Kraemer R, et al. Tracheal-innominate artery fistula caused by the endotracheal tube tip: case report and investigation of a fatal complication of prolonged intubation. Respir Care 2001;46:1012-8.
35. O'Neal PV, Munro CL, Grap MJ, Rausch SM. Subglottic secretion viscosity and evacuation efficiency. Biol Res Nurs 2007;8:202-9.
36. Leur JP, Zwaveling JH, Loef BG, Schans CP. Endotracheal suctioning versus minimally invasive airway suctioning in intubated patients: A prospective randomized controlled trial. Intensive Care Med 2003;29:426-32.
37. Leur JP, Zwaveling JH, Loef BG, Schans CP. Patient recollection of airway suctioning in the ICU: Routine versus a minimally invasive procedure. Intensive Care Med 2003;29:433-6.
38. Ji YR, Kim HS, Park JH. Instillation of normal saline before suctioning in patients with pneumonia. Yonsei Med J 2002;43:607-12.
39. Ackerman MH, Mick DJ. Instillation of normal saline before suctioning in patients with pulmonary infections: A prospective randomized controlled trial. Am J Crit Care 1998;7:261-6.
40. O'Neal PV, Grap MJ, Thompson C, Dudley W. Level of dyspnoea experienced in mechanically ventilated adults with and without saline instillation prior to endotracheal suetioning. Intensive Crit Care Nurs 2001;17:356-63.
41. Klockare M, Dufva A, Danielsson AM, et al. Comparison between direct humidification and nebulization of the respiratory tract at mechanical ventilation: Distribution of saline solution studied by gamma camera. J Clin Nuts 2006;15:301-7.
42. Leone M, Rousseau S, Avidan M. Target concentrations of remifentanil with propofol to blunt coughing during intubation, cuff inflation, and tracheal suctioning. Br J Anaesth 2004;93:660-3.
43. Leone M, Albanese J, Viviand X. The effects of remifentanil on endotracheal suctioning-induced increases in intracranial pressure in head-injured patients. Anesth Analg 2004;99:1193-8.
44. Brocas E, Dupont H, Paugam-Burtz C, Servin F, Mantz J, Desmonts JM. Bispectral index variations during tracheal suction in mechanically ventilated critically ill patients: Effects of alfentanil. bolus. Intensive Care Med 2002;28:211-13.
45. Avidan MS, Zhang L, Burnside BA, et al. Anesthesia awareness and the bispectal index. N Engl J Med 2008;358:1097-1108.
46. Frass M, Dielacher C, Linkesch M, et al. Influence of potassium dichromate on tracheal secretions in critically ill palents. Chest 2005;127:936-41.
47. Brown M, Willms D. Colonization of Yankauer suction catheters with pathogenic organisms. Am J Infect Control 2005;33:483-5.
48. Sole ML, Poalillo FE, Byers JF, Ludy JE. Bacterial growth in secretions and on suctioning equipment of orally intubated patients: A pilot study. Am J Crit Care 2002; 11:141-9.
49. Ng KS, Kumarasinghe G, Inglis TJ. Dissemination of respiratory secretions during tracheal tube suctioning in an intensive care unit. Ann Acad Med Singapore 1999;28:178-82.
50. Standards for All Health Care Facilities and Settings for high risk Respiratory Procedures Under Non-Outbreak Conditions, Ontario Ministry of Health, April 15, 2004.
51. 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 Resusc 2001;3:230-5.
52. Stenqvist O, Lindgren S, Kárason S, Söndergaard S, Lundin S. Warning! Suctioning. A lung model evaluation of closed suctioning systems. Acta Anaesthesiol Scand 2001;45:167-72.
53. Vandenberg JT, Lutz RH, Vinson DR. Large-diameter suction system reduces oropharyngeal evacuation time. J Emerg Med 1999;17:941-4.