BACKGROUND Premature infants not only feel and understand the pain, but also respond more intensively compared with term infants. Non-pharmacological methods of pain control are suitable to relieve pain in painful procedures. The facilitated tucking position is considered as a non-pharmacological method of pain control in infants; however, its impact on frequent and repeated procedural pain suc...

Background: In the context of today’s critical care, many patients require prolonged intubation and tracheostomy care. Though these are life-saving procedures, they are not totally devoid of complications. Suctioning of secretions via the ET tube/tracheostomy tube with a suction catheter is associated with trauma to the passages owing to the structure and material of catheters. To avoid the tra...

This randomized controlled trial was done to assess whether endotracheal suctioning of nonvigorous infants born through meconium stained amniotic fluid (MSAF) reduces the risk and complications of meconium aspiration syndrome (MAS). Term, nonvigorous babies born through MSAF were randomized to endotracheal suction or no suction groups (n=61 in each). Risks of MAS, complications of MAS and endot...

BACKGROUND Despite the common occurrence of intrauterine meconium passage and resultant meconium aspiration syndrome (MAS), controversies regarding the pathophysiology and use of appropriate preventive strategies abound. METHODS Databases from MEDLINE, MD Consult, and the Science Citation Index were searched from 1964 to the present to find relevant sources of information. RESULTS AND CONCL...

This study was conducted to evaluate the effects of open endotracheal suctioning on gas exchange and respiratory mechanics in ARF patients under the modes of PCV or VCV. Ninety-six ARF patients were treated with open endotracheal suctioning and their variations in respiratory mechanics and gas exchange after the suctions were compared. Under PCV mode, compared with the initial level of tidal vo...

Tracheobronchial suctioning is an essential part of routine care for mechanically ventilated patients. Closed, rather than open, suction catheters are preferred for their advantages, which include minimizing risk of hypoxemia and containment of potentially infected secretions during suctioning.1,2 A closed-suction catheter is situated between the endotracheal tube (ETT) and the Y-piece of the b...

BACKGROUND Hypoxia and hypoxemia are among the most common complications of endotracheal suctioning. These complications are often mitigated by the administration of oxygen 100% prior to endotracheal suction. Although several studies have supported the application of this method, none have yet specified the exact duration of pre-oxygenation required to be performed before endotracheal suction. ...

INTRODUCTION In Japan, expiratory rib cage compression (a chest physiotherapy technique) is frequently used with mechanically ventilated patients. It has not been determined whether rib cage compression combined with endotracheal suctioning improves oxygenation, ventilation, and mucus clearance. We evaluated the effects of rib cage compression with and without endotracheal suctioning on P(aO(2)...

the effect of expiratory rib – cage compression before endotracheal suctioning on blood pressure in patients under mechanical ventilation    shrvani y [1] *, piami bosary m [2] , agha hasan kashani s3, mosavi nasab n4, ghafouri fard m5     received: 21 apr , 2013 accepted: 12 jul , 2013   abstract   background & aims : in patients undergoing mechanical ventilation because of an endotracheal tub...