End-expiratory lung volume recovers more slowly after closed endotracheal suctioning than after open suctioning: A randomized crossover study

Journal of Critical Care

Volumn 27, Issue 6, 2012, Pages 742.e1-742.e7

  Corley, Amanda ^a   Spooner, Amy J ^a   Barnett, Adrian G ^b   Caruana, Lawrence R ^a   Hammond, Naomi E ^a   Fraser, John F ^a  

^a UNIVERSITY OF QUEENSLAND   (Australia)

^b QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

Author keywords

Electrical impedance tomography; Lung volume; Lung volume measurement; Mechanical ventilation; Suctioning

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BLOOD OXYGEN TENSION; CLINICAL ARTICLE; CLOSED SUCTION; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; CONTROLLED STUDY; CROSSOVER PROCEDURE; EXPIRATORY RESERVE VOLUME; FEMALE; HEART SURGERY; HUMAN; INSPIRATORY CAPACITY; LUNG ALVEOLUS CARBON DIOXIDE TENSION; LUNG VASCULAR RESISTANCE; LUNG VOLUME; MALE; OPEN SUCTION; OXIMETRY; OXYGEN TENSION; OXYGENATION; PATIENT COMPLIANCE; POSTOPERATIVE CARE; POSTSUCTIONING; RANDOMIZED CONTROLLED TRIAL; TRACHEOBRONCHIAL TOILET;

EID: 84870700500     PISSN: 08839441     EISSN: 15578615     Source Type: Journal    
DOI: 10.1016/j.jcrc.2012.08.019     Document Type: Article

References (27)

1. Lachmann B. Open up the lung and keep the lung open. Intensive Care Med 1992, 18:319-321.
2. Fernandez M.D., Piacentini E., Blanch L., et al. Changes in lung volume with three systems of endotracheal suctioning with and without pre-oxygenation in patients with mild-to-moderate lung failure. Intensive Care Med 2004, 30:2210-2215.
3. Maggiore S.M., Lellouche F., Pigeot J., et al. Prevention of endotracheal suctioning-induced alveolar derecruitment in acute lung injury. Am J Respir Crit Care Med 2003, 167:1215-1224.
4. Cereda M., Villa F., Colombo E., et al. Closed system endotracheal suctioning maintains lung volume during volume-controlled mechanical ventilation. Intensive Care Med 2001, 27:648-654.
5. Choong K., Chatrkaw P., Frndova H., et al. Comparison of loss in lung volume with open versus in-line catheter endotracheal suctioning. Pediatr Crit Care Med 2003, 4:69-73.
6. 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, 7:55-62.
7. Heinze H., Sedemund-Adib B., Heringlake M., et al. Functional residual capacity changes after different endotracheal suctioning methods. Anesth Analg 2008, 107:941-944.
8. Grant C.A., Fraser J.F., Dunster K.R., et al. The assessment of regional lung mechanics with electrical impedance tomography: a pilot study during recruitment manoeuvres. Intensive Care Med 2009, 35:166-170.
9. Lindgren S., Odenstedt H., Olegard C., et al. Regional lung derecruitment after endotracheal suction during volume- or pressure-controlled ventilation: a study using electric impedance tomography. Intensive Care Med 2007, 33:172-180.
10. Tingay D.G., Copnell B., Grant C.A., et al. The effect of endotracheal suction on regional tidal ventilation and end-expiratory lung volume. Intensive Care Med 2010, 36:888-896.
11. Hinz J., Hahn G., Neumann P., et al. End-expiratory lung impedance change enables bedside monitoring of end-expiratory lung volume change. Intensive Care Med 2003, 29:37-43.
12. van Genderingen H.R., van Vught A.J., Jansen J.R. Estimation of regional lung volume changes by electrical impedance pressures tomography during a pressure-volume maneuver. Intensive Care Med 2003, 29:233-240.
13. Dobson A., Barnett A. An introduction to generalized linear models 2008, Chapman & Hall/CRC, Boca Raton, FL.
14. Bates D., Maechler M. lmer: Linear mixed-effects models using S4 classes. R package version 0.999375-35, 2010 http://CRAN.R-project.org/package=lme4.
15. Bernard G.R., Artigas A., Brigham K.L., et al. Report of the American-European consensus conference on ARDS: definitions, mechanisms, relevant outcomes and clinical trial coordination. The Consensus Committee. Intensive Care Med 1994, 20:225-232.
16. Taskar V., John J., Evander E., et al. Surfactant dysfunction makes lungs vulnerable to repetitive collapse and reexpansion. Am J Respir Crit Care Med 1997, 155:313-320.
17. El Masry A., Williams P.F., Chipman D.W., et al. The impact of closed endotracheal suctioning systems on mechanical ventilator performance. Respir Care 2005, 50:345-353.
18. Subirana M., Sola I., Benito S. Closed tracheal suction systems versus open tracheal suction systems for mechanically ventilated adult patients. Cochrane Database Syst Rev 2007, CD004581.
19. Stenqvist O., Lindgren S., Karason S., et al. Warning! Suctioning. A lung model evaluation of closed suctioning systems. Acta Anaesthesiol Scand 2001, 45:167-172.
20. Almgren B., Wickerts C.J., Heinonen E., et al. Side effects of endotracheal suction in pressure- and volume-controlled ventilation. Chest 2004, 125:1077-1080.
21. Lu Q., Capderou A., Cluzel P., et al. A computed tomographic scan assessment of endotracheal suctioning-induced bronchoconstriction in ventilated sheep. Am J Respir Crit Care Med 2000, 162:1898-1904.
22. Brower R.G., Morris A., MacIntyre N., et al. Effects of recruitment maneuvers in patients with acute lung injury and acute respiratory distress syndrome ventilated with high positive end-expiratory pressure. Crit Care Med 2003, 31:2592-2597.
23. Levy M.M., Baylor M.S., Bernard G.R., et al. Clinical issues and research in respiratory failure from severe acute respiratory syndrome. Am J Respir Crit Care Med 2005, 171:518-526.
24. Nielsen J., Ostergaard M., Kjaergaard J., et al. Lung recruitment maneuver depresses central hemodynamics in patients following cardiac surgery. Intensive Care Med 2005, 31:1189-1194.
25. Odenstedt H., Aneman A., Karason S., et al. Acute hemodynamic changes during lung recruitment in lavage and endotoxin-induced ALI. Intensive Care Med 2005, 31:112-120.
26. Rabitsch W., Kostler W.J., Fiebiger W., et al. Closed suctioning system reduces cross-contamination between bronchial system and gastric juices. Anesth Analg 2004, 99:886-892. table of contents.
27. Cobley M., Atkins M., Jones P.L. Environmental contamination during tracheal suction. Anaesthesia 1991, 46:957-961.