Difficulties with tracheal suction

Difficulties in tracheal intubation

Closed tracheal suction systems versus open tracheal suction systems for mechanically ventilated adult patients.

BACKGROUND Ventilator-associated pneumonia is a common complication in ventilated patients. Endotracheal suctioning is a procedure that may constitute a risk factor for ventilator-associated pneumonia. It can be performed with an open system or with a closed system. In view of suggested advantages being reported for the closed system, a systematic review comparing both techniques was warranted....

Randomized, comparative analysis between two tracheal suction systems in neonates.

OBJECTIVE To quantify and compare variations in oxygen saturation throughout the suctioning procedure (before, during, and after) using two endotracheal suction systems: open suction system (OSS) vs. closed suction system (CSS). METHODS A prospective randomized controlled study was carried out with 39 newborn infants of gestational age ≥ 34 weeks using pressure-limited, time-cycled, continuou...

Closed tracheal suction systems for prevention of ventilator-associated pneumonia.

We have assessed the evidence that closed tracheal suction systems (TSS) prevent ventilator-associated pneumonia (VAP), using a meta-analysis of randomized controlled trials (RCTs). We searched PubMed and Cochrane databases to identify RCTs that compared closed with open TSS for the management of mechanically ventilated (MV) patients. Nine RCTs were included in the meta-analysis. There was no d...

A retrospective review of tracheal suction at birth in neonates with meconium aspiration syndrome.

A retrospective study of 54 neonates with Meconium Aspiration Syndrome (MAS) admitted to the Paediatric ICU Penang General Hospital from January 1989-December 1990 was carried out to determine if suction of the trachea at birth was performed in this group of patients. 63% were inborn and 27% outborn. The mean birth weight was 3.2 kg, 83% were ventilated, mean duration of ventilation was five da...