Functional Residual Capacity Changes After Different Endotracheal Suctioning Methods

Heinze, Hermann; Sedemund-Adib, Beate; Heringlake, Matthias; Gosch, Ulrich; Eichler, Wolfgang

doi:10.1213/ane.0b013e3181804a5d

Cited by 24 publications

(27 citation statements)

References 20 publications

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“…A study by Heinze et al 27 . (2008) analyzed changes in functional residual capacity of 20 postoperative cardiac surgery adult patients after suctioning with OSS and CSS in different ventilatory modes.…”

Section: Discussionmentioning

confidence: 99%

“…The effect of endotracheal suction on lung volume may depend on the ventilatory mode and settings, the suctioning technique and duration, as well as on the ratio between the diameters of the endotracheal tube and the suction catheter 21,27 . Therefore, this study provided us with evidence of safety to continue using OSS, which is the most widely used in NICUs, since there were no statistically significant differences in oxygenation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Paula¹,

Ceccon²

2010

Rev. Assoc. Med. Bras.

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objectIve. To quantify and compare variations in oxygen saturation throughout the suctioning procedure (before, during, and after) using two endotracheal suction systems: open suction system (OSS) vs. closed suction system (CSS). Methods. A prospective randomized controlled study was carried out with 39 newborn infants of gestational age ≥ 34 weeks using pressure-limited, time-cycled, continuous-flow mechanical ventilators. The infants were classified into two groups according to ventilatory parameters: Group I was ventilated using positive end-expiratory pressure (PEEP) ≥ 5 cm H 2 O and mean airway pressure (MAP) ≥ 8 cm H 2 O; and Group II using PEEP < 5 cm H2O and MAP < 8 cm H 2 O. results. No statistically significant differences were observed when OSS and CSS were compared in both groups. There was a statistically significant improvement in post-procedure oxygen saturation in both groups. conclusIon. Both endotracheal suction systems can be used with no drawbacks of OSS in relation to CSS, provided the sample is similar to that of the present study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Paula¹,

Ceccon²

2010

Rev. Assoc. Med. Bras.

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“…[51][52] Recent studies measured the impact of various suctioning methods and modes of ventilation and found that irrespective of ventilation mode, or whether open or closed suctioning was used, a significant loss of FRC occurred. [48][49][50][51] In a study by Lindgren et al, FRC as measured by EIT decreased by 58±24% of baseline after disconnection of the endotracheal tube and a further 22±10% during open suction itself. 50 It is probable that some form of recruitment manoeuvre may be necessary to attenuate the impact of LPVS, particularly after circuit disconnection and the application of suction.…”

Section: When Do You Recruit Lungs?mentioning

confidence: 94%

“…36,42 A number of studies have been conducted in adults demonstrating the significant losses associated with circuit disconnection and the application of suction to the airways. [48][49][50] One paediatric study compared open and closed suction and the impact on lung volume. 51 Choong and colleagues demonstrated using inductive plethysmography that the greatest loss of lung volume is related to disconnection from the circuit and subsequently recommended the use of closed suction units.…”

Section: When Do You Recruit Lungs?mentioning

confidence: 99%

Paediatric lung recruitment: a review of the clinical evidence

Jauncey‐Cooke

East

Bogossian

2015

Paediatric Respiratory Reviews

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“…대상자로부터 인공호흡 기를 분리한 후 기도를 흡인하는 개방형 방법은 폐쇄형 방법에 비 해 분비물을 더 많이 제거할 수 있는 반면 [6], 폐유순도, 일회호흡량 및 산소포화도를 감소시키는 단점이 있다 [7]. 최근 …”

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Effects of Open or Closed Suctioning on Lung Dynamics and Hypoxemia in Mechanically Ventilated Patients

Lee

Kim

2014

J Korean Acad Nurs

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Purpose: This study was conducted to compare effects of open and closed suctioning methods on lung dynamics (dynamic compliance, tidal volume, and airway resistance) and hypoxemia (oxygen saturation and heart rate) in mechanically ventilated patients. Methods: This study was a cross-over repeated design. Participants were 21 adult patients being treated with endotracheal intubation using a pressurecontrolled ventilator below Fraction of Inspired Oxygen (FiO2) 60% and PEEP 8 cmH2O. Data were collected at baseline and 1, 2, 3, 4, 5, and 10 minutes after suctioning. Data were analyzed using two-factor ANOVA with repeated measures on time and suctioning type. Results: Effects of the interaction between suction type and time were significant for oxygen saturation and heart rate but not significant for dynamic compliance, tidal volume, or airway resistance. Prior to performance of suctioning, tidal volume and oxygen saturation were significantly lower, but airway pressure and heart rate were significantly higher using the closed suctioning method as compared with the open suctioning method. Conclusion: For patients on ventilator therapy below FiO2 60% and PEEP 8cmH2O, open suctioning performed after delivery of 100% FiO2 using a mechanical ventilator may not have as much negative impact on lung dynamics and hypoxemia as closed suctioning. If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Functional Residual Capacity Changes After Different Endotracheal Suctioning Methods

Abstract: FRC is reduced in postcardiac surgery patients after suctioning, regardless of which method is used. Certain patients may have very pronounced changes of FRC. Routine FRC measurements could complement respiratory monitoring to optimize respiratory therapy.

Cited by 24 publications

References 20 publications

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

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

Paediatric lung recruitment: a review of the clinical evidence

Effects of Open or Closed Suctioning on Lung Dynamics and Hypoxemia in Mechanically Ventilated Patients

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