The impact of tracheal suctioning with an open or a closed system on equipment and health care workers contamination with multidrug-resistant pathogens was compared. Only the closed system reduced hand and equipment contamination during tracheal suctioning. This equipment could be systematically used to reduce risk of cross contamination in the intensive care unit.

background: tick and tenacious secretions is one of the problems in suctioning and the instillation of normal saline in airways is one of the ways for removing pulmonary secretions. the aim of this study was to determine the effect of endotracheal suctioning using or not using normal saline on respiratory physiologic parameters in open heart surgery patients. methods: this study was a one-group...

BACKGROUND The vital issue of protecting the airway and maintaining ventilation in preterm infants makes tracheal suctioning an important procedure. The decision to use closed or open endotracheal suction method depends on the clinical status of infants and the nurses' skills and preferences. OBJECTIVES The current study aimed to compare the two methods based on the perceptions of the nurses ...

BACKGROUND Closed-circuit endotracheal suctioning (CES) is advocated for preventing hypoxemia caused by the loss of lung volume resulting from open endotracheal suctioning (OES). However, the efficiency of CES and OES on tracheal secretion removal has never been compared in patients with acute lung injury. The authors designed a two-part study aimed at comparing gas exchange and efficiency betw...

INTRODUCTION Removal of pulmonary secretions in mechanically ventilated patients usually requires suction with closed catheter systems or flexible bronchoscopes. Manual ventilation is occasionally performed during such procedures if clinicians suspect inadequate ventilation. Suctioning can also be performed with the ventilator entirely disconnected from the endotracheal tube (ETT). The aim of t...

OBJECTIVES To update a previous clinical practice guideline on suctioning in adult patients, published in the Canadian Respiratory Journal in 2001. METHODS A primary search of the MEDLINE (from 1998), CINAHL, EMBASE and The Cochrane Library (all from 1996) databases up to November 2007, was conducted. These dates reflect the search limits reached in the previous clinical practice guideline. A...

BACKGROUND Although endotracheal suctioning induces alveolar derecruitment during mechanical ventilation, it is not clear whether repeated endotracheal suctioning exacerbates lung injuries. The present study aimed to determine whether repeated open endotracheal suctioning (OS) exacerbates lung injury compared to closed endotracheal suctioning (CS) during mechanical ventilation in an animal mode...

aims: endotracheal suctioning is a vital process to keep the airways open. the method of performing endotracheal suctioning has a great effect on its complications and effectiveness. this study was carried out with the aim of assessing gap between the knowledge and performance of nurses' working in intensive care units (icu) in tracheal suctioning.   methods: in this cross sectional study,...