TY - JOUR
T1 - Closed versus open suctioning techniques
AU - Maggiore, Salvatore Maurizio
AU - Iacobone, E
AU - Zito, G
AU - Conti, C
AU - Antonelli, Massimo
AU - Proietti, R.
PY - 2002
Y1 - 2002
N2 - Airway suctioning is classically performed with the disconnection of the patient from the ventilator and the introduction of the suction catheter into the endotracheal tube. Alternatively, it can be accomplished with a closed suctioning system included in the ventilatory circuit, allowing to introduce the suction catheter into the airways without disconnecting the patient from the ventilator. The closed-suction system has some advantages compared to the conventional, open-suction technique. It can be helpful in limiting environmental, personnel and patient contamination and in preventing the loss of lung volume and the alveolar derecruitment associated with standard suctioning in the severely hypoxemic patients. However, the impact of the closed system on ventilator-associated pneumonia as well as its cost-effectiveness and the influence of such devices with ventilatory support remain to be assessed.
AB - Airway suctioning is classically performed with the disconnection of the patient from the ventilator and the introduction of the suction catheter into the endotracheal tube. Alternatively, it can be accomplished with a closed suctioning system included in the ventilatory circuit, allowing to introduce the suction catheter into the airways without disconnecting the patient from the ventilator. The closed-suction system has some advantages compared to the conventional, open-suction technique. It can be helpful in limiting environmental, personnel and patient contamination and in preventing the loss of lung volume and the alveolar derecruitment associated with standard suctioning in the severely hypoxemic patients. However, the impact of the closed system on ventilator-associated pneumonia as well as its cost-effectiveness and the influence of such devices with ventilatory support remain to be assessed.
KW - artificial respiration
KW - intratracheal intubation
KW - mechanical ventilators
KW - pneumonia
KW - suction
KW - artificial respiration
KW - intratracheal intubation
KW - mechanical ventilators
KW - pneumonia
KW - suction
UR - http://hdl.handle.net/10807/51826
M3 - Article
SN - 0375-9393
VL - 68
SP - 360
EP - 364
JO - Minerva Anestesiologica
JF - Minerva Anestesiologica
ER -