abstract background: clearing the endotracheal tube through suctioning should be done to promote oxygenation. depth of suctioning is one of the variables in this regard. in shallow suctioning method, the catheter passes to the tip of the endotracheal tube, and in deep suctioning method, it passes beyond the tip into the trachea or brunches. this study aimed to evaluate the effect of shallow and...

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...

Background Cuff management varies widely in Europe and North America. Little is known about current practice in Australia and New Zealand. Objective To characterize important aspects of cuff management in intensive care units in Australia and New Zealand to compare with international reports. Methods A questionnaire was sent to all nurse managers of adult intensive care units in Australia and N...

abstract background: endotracheal suctioning (ets) is an essential procedure performed for mechanically ventilated patients. ets can be either performed by open or closed suctioning system (css). there may be some concern on how closed‑system ets is practiced by intensive care nurses. this study was designed to investigate closed‑system ets practices of critical care nurses and to compare their...

BACKGROUND Megaesophagus carries a poor to guarded prognosis due to death from aspiration pneumonia. Options for medical management of regurgitation are limited to strategic oral or gastrostomy tube feeding. OBJECTIVES To describe the use and efficacy of intermittent esophageal suctioning to prevent regurgitation and associated episodes of aspiration pneumonia in dogs with megaesophagus. AN...

INTRODUCTION In fetuses who are predicted to be at risk of catastrophic airway obstruction at delivery, the ex utero intrapartum treatment (EXIT) procedure is useful for securing the fetal airway while maintaining fetal oxygenation via placental circulation. Factors, including poor posture of the fetus and physician, narrow visual field, and issues of contamination in the aseptic surgical field...

BACKGROUND We evaluated the diagnostic performance and safety of combined blind nasotracheal suctioning and non-bronchoscopic mini-bronchoalveolar lavage (mini-BAL) to obtain respiratory secretion specimens from spontaneously breathing, non-intubated patients with infectious pneumonia in intensive care. METHODS Patients suspected of having infectious pneumonia were included prospectively. Thr...

Wrammert, J. 2017. Surviving birth. Studies of a simplified neonatal resuscitation protocol in a low-income context using a mixed-methods approach. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1308. 73 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-554-9839-9. United Nations has lately stated ambitious health targets for 2030 in the Sustainable...

OBJECTIVE To evaluate the effects of physiotherapeutic respiratory maneuvers on cerebral and cardiovascular hemodynamics and blood gas variables. METHOD A descriptive, longitudinal, prospective, nonrandomized clinical trial that included 20 critical patients with severe craniocerebral trauma who were receiving mechanical ventilation and who were admitted to the intensive care unit. Each patie...

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...