Design and Function of Tracheal Suction Catheters

Lomholt, Niels

doi:10.1111/j.1399-6576.1982.tb01715.x

Cited by 16 publications

(10 citation statements)

References 15 publications

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“…We do not recommend using a bougie or a similar rigid device to assess tube patency as if the tube is partially or completely displaced from the airway, these stiffer devices are more likely to create a false passage . Soft‐tipped suction catheters will not advance significantly into the soft tissues .…”

Section: Resultsmentioning

confidence: 99%

Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

et al. 2018

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Summary Temporary and permanent tracheostomies are required in children to manage actual or anticipated long‐term ventilatory support, to aid secretion management or to manage fixed upper airway obstruction. Tracheostomies may be required from the first few moments of life, with the majority performed in children < 4 years of age. Although similarities with adult tracheostomies are apparent, there are key differences when managing the routine and emergency care of children with tracheostomies. The National Tracheostomy Safety Project identified the need for structured guidelines to aid multidisciplinary clinical decision making during paediatric tracheostomy emergencies. These guidelines describe the development of a bespoke emergency management algorithm and supporting resources. Our aim is to reduce the frequency, nature and severity of paediatric tracheostomy emergencies through preparation and education of staff, parents, carers and patients.

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Section: Resultsmentioning

confidence: 99%

Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

et al. 2018

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“…56,57 Shah et al 57 compared six 14 French suction catheters in a bench study evaluating the characteristics (side hole placement) that facilitated removal of a mucus simulant. The viscosity of the simulated mucus was altered to represent thin and thick secretions.…”

Section: Maintaining the Endotracheal Tube Lumenmentioning

confidence: 99%

Management of the Artificial AirwayDiscussion

2014

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Management of the artificial airway includes securing the tube to prevent dislodgement or migration as well as removal of secretions. Preventive measures include adequate humidification and appropriate airway suctioning. Monitoring airway patency and removing obstruction are potentially life-saving components of airway management. Cuff pressure management is important for preventing aspiration and mucosal damage as well as assuring adequate ventilation. A number of new monitoring techniques have been introduced, and automated cuff pressure control is becoming more common. The respiratory therapist should be adept with all these devices and understand the appropriate application and management.

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“…However, most suction catheters have distal side holes to limit suction damage to tracheal mucosa [2]. The limitations of small bore suction devices for removal of thick secretions from the oropharynx has been reported in the Accident & Emergency Department setting [3].…”

Section: Discussionmentioning

confidence: 99%