Determinants of successful selective tracheobronchial suctioning

Haberman, Paul B.; Green, Joseph P.; Archibald, Carol; Dunn, Deon L.; Hurwitz, Sheldon R.; Ashburn, William L.; Moser, Kenneth Μ.

doi:10.1097/00003246-197401000-00006

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Maintaining the Endotracheal Tube Lumen1

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1980

2014

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“…Attempts at suctioning the left main bronchus have been described and range from simple maneuvers to use of specially designed catheters. [81][82][83][84] A simple method for suctioning the left main bronchus is turning the patient's head to the right in an attempt to increase the likelihood of passage of the catheter into the left main bronchus. The same effect may be gained by placing the patient in the left lateral position and using gravity to further the catheter's passage.…”

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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Section: Maintaining the Endotracheal Tube Lumenmentioning

confidence: 99%