Closed versus open endotracheal suctioning

Johnson, Karen; Kearney, Paul A.; Johnson, Steven B.; Niblett, J; Macmillan, Nancy L.; Mcclain, Rebecca E.

doi:10.1097/00003246-199404000-00023

Cited by 156 publications

(123 citation statements)

References 0 publications

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“…Although, the occurrence of VAP seems to be higher in multiple-use, open suction group, it did not meet the level of statistical significance. Our results are consistent with those findings of other researchers who reported that suctioning performed by closed-suction system does not increase the incidence of nosocomial pneumonia 10,12,22 . Even though, Combes et al argued that the incidence rate of VAP was lower for closed-suction system than open-suctioning, there was no follow up studies supporting their data 11 .…”

Section: Discussionsupporting

confidence: 93%

Comparison of a Closed with an Open Endotracheal Suction: Costs and the Incidence of Ventilator-associated Pneumonia

et al. 2008

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Section: Discussionsupporting

confidence: 93%

Comparison of a Closed with an Open Endotracheal Suction: Costs and the Incidence of Ventilator-associated Pneumonia

et al. 2008

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“…In theory the closed system could reduce the incidence of VAP, but in practice this has not been demonstrated (35,50,93,106,219). Cost analysis favors the closed system, as the enveloped catheter can be reused for suctioning and needs to be changed only when dysfunctional (52).…”

Section: Preventionmentioning

confidence: 99%

Ventilator-Associated Pneumonia: Diagnosis, Treatment, and Prevention

2006

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SUMMARY While critically ill patients experience a life-threatening illness, they commonly contract ventilator-associated pneumonia. This nosocomial infection increases morbidity and likely mortality as well as the cost of health care. This article reviews the literature with regard to diagnosis, treatment, and prevention. It provides conclusions that can be implemented in practice as well as an algorithm for the bedside clinician and also focuses on the controversies with regard to diagnostic tools and approaches, treatment plans, and prevention strategies.

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“…In agreement with the "open lung concept", the closed system enables suctioning to be performed without disconnection of the patient or interrupting mechanical ventilation, to prevent lung collapse. Several studies during the last 15 years support the fact that the closed system, if used correctly, minimises side-effects and environmental contamination [32,33,38,[59][60][61][62][63][64] (see Table 3). However, there is a potential to create large negative pressures if the suction flow exceeds ventilation or secretions lining the inside surface of the tube creates a too high tube resistance, preventing adequate ventilation [65].…”

Section: Losed Suction Systemsmentioning

confidence: 99%