OBJECTIVE To evaluate the respiratory and hemodynamic effects of open suctioning (OS) versus closed suctioning (CS) during pressure-control (PC) and volume-control (VC) ventilation, using a lung-protective ventilation strategy in an animal model of acute respiratory distress syndrome (ARDS). SETTING Animal laboratory in a university hospital. DESIGN Randomized cross-over evaluation. ANIMA...

UNLABELLED Theme: Child protection and managing risk. AIM To describe ETS methods in Estonian NICUs. METHOD Research sample = 67% of Estonian NICU nurses. 2011 data: survey protocol, questionnaire. RESULTS Knowledge and experience on preparatory activity prior to suctioning varied: half carried out the appropriate hand hygiene; however, all put on gloves prior to suctioning. No one perfor...

Oropharyngeal teratomas are an extremely rare congenital tumor. They often diagnosed prenatally and can cause significant airway obstruction feeding difficulties at birth. We present a five-month-old female that was with palatal teratoma presented failure to thrive, difficulty feeding, eventually severe obstructive sleep apnea. term, otherwise healthy who became stridulous after episode of the ...

INTRODUCTION We conducted this prospective randomised cross-over study to evaluate the effect of closed system (CS) versus open system (OS) endotracheal suctioning on heart rate (HR), mean arterial pressure (MAP), respiratory rate (RR), oxygen saturation (SpO2) and electrocardiogram (ECG) rhythm of patients on mechanical ventilation. MATERIALS AND METHODS Fourteen adult patients were randomly...

abstract background: the aim of this study was to compare changes in pain, oxygenation, and ventilation following endotracheal suctioning with open and closed suctioning systems in post coronary artery bypass grafting (cabg) patients. materials and methods: 130 post cabg mechanically ventilated patients were randomly allocated to undergo either open (n = 75) or closed (n = 55) endotracheal suct...

AIMS Mechanical ventilation is used for some infants in neonatal intensive care units (NICU) due to many physiological and clinical causes. Since these patients have endotracheal tubes, cleaning and keeping the airways open through suctioning should be done to increase oxygenation. This study aimed to evaluate effect of open and closed suctioning methods on respiratory parameters of infants und...

BACKGROUND Critically ill patients who need mechanical ventilation require endotracheal suctioning. Guidelines recommend coarse crackles over the trachea and/or the presence of a sawtooth pattern on the flow-volume loop of the ventilator waveform as the best indicators. OBJECTIVE To determine clinical cues for endotracheal suctioning in patients who require mechanical ventilation. METHODS A...

Endotracheal suctioning is performed regularly in ventilated infants and children to remove obstructive secretions. The effect of suctioning on respiratory mechanics is not known. This study aimed to determine the immediate effect of endotracheal suctioning on dynamic lung compliance, tidal volume, and airway resistance in mechanically-ventilated paediatric patients by means of a prospective ob...

Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in the intensive care unit and is associated with major morbidity and attributable mortality. Strategies to prevent VAP are likely to be successful only if based upon a sound understanding of pathogenesis and epidemiology. The major route for acquiring endemic VAP is oropharyngeal colonization by the endogenous flora ...