Lung volume changes during cleaning of closed endotracheal suction catheters: A randomized crossover study using electrical impedance tomography

Respiratory Care

Volumn 59, Issue 4, 2014, Pages 497-503

  Corley, Amanda ^a   Sharpe, Nicola ^a   Caruana, Lawrence R ^a   Spooner, Amy J ^a   Fraser, John F ^a  

^a UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

Alveolar de recruitment; Electrical impedance tomography; Lung volume; Lung volume measurement; Mechanical ventilation; Suctioning

Indexed keywords

ACUTE LUNG INJURY; ADULT; ARTICLE; CLINICAL ARTICLE; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; CONTROLLED STUDY; CORONARY ARTERY BYPASS SURGERY; CROSSOVER PROCEDURE; FEMALE; HEART VALVE REPLACEMENT; HUMAN; HYPERINFLATION; INTERMITTENT MANDATORY VENTILATION; LUNG VASCULAR RESISTANCE; LUNG VOLUME; MALE; MYOMECTOMY; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; TRACHEAL SUCTION CATHETER; TRACHEAL SUCTION CATHETER CLEANING; VALSALVA MANEUVER; VALVE; ARTIFICIAL VENTILATION; CATHETER; DEVICES; DISINFECTION; ENDOTRACHEAL INTUBATION; IMPEDANCE; INTENSIVE CARE UNIT; MIDDLE AGED; SUCTION; TOMOGRAPHY;

CATHETERS; CROSS-OVER STUDIES; DISINFECTION; ELECTRIC IMPEDANCE; FEMALE; HUMANS; INTENSIVE CARE UNITS; INTUBATION, INTRATRACHEAL; LUNG VOLUME MEASUREMENTS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; SUCTION; TOMOGRAPHY;

EID: 84898767709     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: 10.4187/respcare.02601     Document Type: Article

References (27)

1. Lachmann B. Open up the lung and keep the lung open. Intensive Care Med 1992;18(6):319-321.
2. Corley A, Spooner AJ, Barnett AG, Caruana LR, Hammond NE, Fraser JF. End-expiratory lung volume recovers more slowly after closed endotracheal suctioning than after open suctioning: a randomized crossover study. J Crit Care 2012;27(6):e1-e7.
3. Fernández MD, Piacentini E, Blanch L, Fernández R. 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(12):2210-2215.
4. 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.
5. 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.
6. Grant CA, Fraser JF, Dunster KR, Schibler A. The assessment of regional lung mechanics with electrical impedance tomography: a pilot study during recruitment manoeuvres. Intensive Care Med 2009; 35(1):166-170.
7. Lindgren S, Odenstedt H, Olegård C, Söndergaard S, Lundin S, Stenqvist O. Regional lung derecruitment after endotracheal suction during volume- or pressure-controlled ventilation: a study using electric impedance tomography. Intensive Care Med 2007;33(1):172-180.
8. Tingay DG, Copnell B, Grant CA, Dargaville PA, Dunster KR, Schibler A. The effect of endotracheal suction on regional tidal ventilation and end-expiratory lung volume. Intensive Care Med 2010;36(5):888-896.
9. Brown BH, Barber DC, Seagar AD. Applied potential tomography: possible clinical applications. Clin Phys Physiol Meas 1985;6(2): 109-121.
10. Caruana LR, Paratz J, Chang AT, Fraser JF. Electrical impedance tomography in the clinical assessment of lung volumes following recruitment manoeuvres. Phys Ther Rev 2011;16(1):66-74.
11. Bodenstein M, David M, Markstaller K. Principles of electrical impedance tomography and its clinical application. Crit Care Med 2009; 37(2):713-724.
12. Costa ELV, Lima RG, Amato MBP. Electrical impedance tomography. Curr Opin Crit Care 2009;15(1):18-24.
13. Putenson C, Wrigge H, Zinserling J. Electrical impedance tomography guided ventilation. Curr Opin Crit Care 2007;13(3):344-350.
14. Hinz J, Hahn G, Neumann P, Sydow M, Mohrenweiser P, Hellige G, Burchardi H. End-expiratory lung impedance change enables bedside monitoring of end-expiratory lung volume change. Intensive Care Med 2003;29(1):37-43.
15. van Genderingen HR, van Vught AJ, Jansen JR. Estimation of regional lung volume changes by electrical impedance pressures tomography during a pressure-volume maneuver. Intensive Care Med 2003;29(2):233-240.
16. Freytag CC, Thies FL, König W, Welte T. Prolonged application of closed in-line suction catheters increases microbial colonization of the lower respiratory tract and bacterial growth on catheter surface. Infection 2003;31(1):31-37.
17. Hagler DA, Traver GA. Endotracheal saline and suction catheters: sources of lower airway contamination. Am J Crit Care 1994;3(6): 444-447.
18. Inglis TJ, Lim TM, Ng ML, Tang EK, Hui KP. Structural features of tracheal tube biofilm formed during prolonged mechanical ventilation. Chest 1995;108(4):1049-1052.
19. Sottile FD, Marrie TJ, Prough DS, Hobgood CD, Gower DJ, Webb LX, Costerton JW, et al. Nosocomial pulmonary infection: possible etiologic significance of bacterial adhesion to endotracheal tubes. Crit Care Med 1986;14(4):265-270.
20. 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.
21. Amato MB, Barbas CS, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998;338(6):347-354.
22. 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.
23. 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.
24. Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson 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; 9(1):225-232.
25. Van Hooser T, Madsen E, Flood T. New closed suction catheter design reduces ventilator volume loss during simulated suction events. 48th AARC Congress, October 5-8, 2002, Tampa Bay, Florida
26. Pedersen CM, Rosendahl-Nielsen M, Hjermind J, Egerod I. Endotracheal suctioning of the adult intubated patient-what is the evidence? Intensive Crit Care Nurs 2009;25(1):21-30.
27. Restrepo RD. AARC Clinical Practice Guidelines: from "referencebased" to "evidence-based". Respir Care 2010;55(6):787-789.