Bronchial complication of a closed-tube endotracheal suction catheter

Análise comparativa randomizada entre dois tipos de sistema de aspiração traqueal em recém-nascidos

“…CSS, for example, is believed to induce fewer episodes of hypoxia and its consequences; however, suction catheters used in CSS are more expensive than those used in OSS and are not available in all health care facilities [16][17][18] . In our research, infants in both groups (I and II) showed no statistically significant differences in relation to weight (mean of 3,150 g in Group I and 2,995 g in Group II), sex (10 female infants in Group I and 13 in Group II; 8 male infants in Group I and 8 in Group II), and newborn classification (5 preterm infants in Group I and 2 in Group II; 13 term infants in Group I and 19 in Group II).…”

Fractured closed suction catheter: an unusual cause of endobronchial obstruction in a ventilated patient

“…Although a reduction in ventilator associated pneumonia with closed suctioning compared to open suction systems has not been established, there is emerging data to suggest that closed suction catheters may be helpful in preventing bacterial cross-contamination between gastric juices and the pulmonary system in adult critically ill patients [10]. Rupture of a closed-tube endotracheal suction catheter presenting as a persistent pneumothorax has been described once before in a premature infant where a piece of catheter was removed from the left main bronchus using a rigid bronchoscope [6]. Tracheobronchial foreign bodies are rare in adults and are most commonly due to aspiration commonly associated with underlying impairment of protective airway mechanisms [1].…”

“…Many iatrogenic cases involve various airway adjuncts and can result in serious morbidity and even mortality for patients [3][4][5][6][7].Closed suction catheters are widely used in the intensive care setting and are considered safe. We report an unusual case of endobronchial obstruction caused by a 14-cm length of broken closed suction catheter in a ventilated patient with a tracheostomy.…”

Paediatric intensive care

“…Graduated suction catheters are available which allow the depth of suction to be measured and related to the length of the endotracheal or tracheostomy tube. Bronchial perforation after closed endotracheal suction has also been reported (Thakur et al 2000, Garcia-Aparicio et al 2002. This is usually changed every 24 hours.…”