Volume not guaranteed: Closed endotracheal suction compromises ventilation in volume-targeted mode

Neonatology

Volumn 99, Issue 1, 2010, Pages 78-82

  Kiraly, Nicholas J ^a   Tingay, David G ^a,b   Mills, John F ^a   Dargaville, Peter A ^a,c   Copnell, Beverley ^a,d  

^a ROYAL CHILDREN'S HOSPITAL   (Australia)

^b UNIVERSITY OF MELBOURNE   (Australia)

^c UNIVERSITY OF TASMANIA   (Australia)

^d MONASH UNIVERSITY   (Australia)

Author keywords

Endotracheal suction; Mechanical ventilation; Neonatal intensive care; Newborn infant

Indexed keywords

WATER;

AIRWAY PRESSURE; ARTICLE; ARTIFICIAL VENTILATION; BREATHING DISORDER; CATHETER; CATHETERIZATION; ENDOTRACHEAL TUBE; FORCED EXPIRATORY VOLUME; HUMAN; INFANT; LUNG FUNCTION; LUNG FUNCTION TEST; LUNG INFLATION; PEAK INSPIRATORY FLOW; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; TIDAL VOLUME; TRACHEOBRONCHIAL TOILET; VENTILATOR;

EQUIPMENT DESIGN; HUMANS; INFANT, NEWBORN; INTENSIVE CARE, NEONATAL; INTUBATION, INTRATRACHEAL; PULMONARY VENTILATION; RESPIRATION, ARTIFICIAL; SUCTION; TIDAL VOLUME; VENTILATOR WEANING; VENTILATORS, MECHANICAL;

EID: 77956091009     PISSN: 16617800     EISSN: 16617819     Source Type: Journal    
DOI: 10.1159/000316854     Document Type: Article

References (7)

1. 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;27:648-654.
2. Stenqvist O, Lindgren S, Karason S, Sondergaard S, Lundin S: Warning! Suctioning. A lung model evaluation of closed suctioning systems. Acta Anaesthesiol Scand 2001;45:167-172.
3. Wheeler KI, Morley CJ, Kamlin COF, Davis PG: Volume-guarantee ventilation: pressure may decrease during obstructed flow. Arch Dis Child Fetal Neonatal Ed 2009;94: F84-F86.
4. Jaecklin T, Morel DR, Rimensberger PC: Volume-targeted modes of modern neonatal ventilators: how stable is the delivered tidal volume? Intensive Care Med 2007;33:326-335.
5. Kiraly NJ, Tingay DG, Mills JF, Morley CJ, Dargaville PA, Copnell B: The effects of closed endotracheal suction on ventilation during conventional and high-frequency oscillatory ventilation. Pediatr Res 2009;66:400-404.
6. McCallion N, Lau R, Dargaville PA, Morley CJ: Volume guarantee ventilation, interrupted expiration, and expiratory braking. Arch Dis Child 2005;90:865-870.
7. Bjorklund LJ, Ingimarsson J, Curstedt T, John J, Robertson B, Werner O, Vilstrup CT: Manual ventilation with a few large breaths at birth compromises the therapeutic effect of subsequent surfactant replacement in immature lambs. Pediatr Res 1997;42:348-355.