Can ventilator settings reduce the negative effects of endotracheal suctioning? Investigations in a mechanical lung model

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Can ventilator settings reduce the negative effects of endotracheal suctioning? Investigations in a mechanical lung model

BACKGROUND The insertion of suction devices through endotracheal tubes (ETTs) increases airway resistance and the subsequent suctioning may reduce airway pressures and facilitate atelectasis. The aim of this study was to investigate how airway pressures and tidal volumes change when different combinations of suction equipment and ETT sizes are used, and to what extent unfavorable effects can be...

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The impact of closed endotracheal suctioning systems on mechanical ventilator performance.

BACKGROUND Closed endotracheal suctioning during mechanical ventilation is increasingly used, but its impact on ventilator function has not been fully studied. METHODS We evaluated the impact of closed suctioning with 11 critical-care ventilators, during assisted ventilation in pressure-support mode, pressure-assist/control mode, volume-assist/control mode, and during continuous positive airw...

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The Effects of Rib Cage Compression before endotracheal suctioning

Abstract Introduction: Accumulation of secretions in airways is a serious complication in intubated and mechanically ventilated patients. Tracheal suctioning which is done with the aim of secretion removal can be used in conjunction with physiotherapy for effective airway clearance and improving gas exchange. Objective: The aim of study was to determine the effects of rib cage compression befor...

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Decreasing the adverse effects of endotracheal suctioning during mechanical ventilation by changing practice.

BACKGROUND Little is known about the incidence of and risk factors for adverse effects from endotracheal suctioning. We studied the incidence and risk factors, and evaluated the effect of suctioning practice guidelines. METHODS During a 3-month period, in 79 mechanically ventilated subjects, we recorded the adverse effects in 4,506 suctioning procedures. Then practice guidelines were implemen...

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A novel visual sputum suctioning system is useful for endotracheal suctioning in a dog model.

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ژورنال

عنوان ژورنال: BMC Anesthesiology

سال: 2015

ISSN: 1471-2253

DOI: 10.1186/s12871-016-0196-z