Determinants of Successful Selective Tracheobronchial Suctioning

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

doi:10.1097/00132586-197410000-00019

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“…When these devices were put into general use, secretion management protocols had been standardized but, nevertheless, constituted a dangerous practise. In the early days of mechanical ventilation, suctioning induced hypoxia (Bartlett & Finegold, 1978;Good, Wolz, Anderson, Dreisin & Petty, 1979;Haberman et al, 1973), arrhythmia (Freedman & Goodman, 1982;Kubota et al, 1980), and cardiac arrest (Kubota et al, 1982). Pneumonia often resulted from insufficient left brachial tree suctioning (Hart & Mahutte, 1992).…”

Section: Historymentioning

confidence: 99%

Closed suctioning system: Critical analysis for its use

Harada

2010

Japan Journal Nursing Sci

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Aim: To determine the efficacy and effectiveness of the closed suctioning system. Method: Literature review articles were accessed from the following databases: PubMed, EMBASE, CINAHL, and Cochrane Library. The literature review criteria included: all publication styles except meta-analysis, participants that were Ն18 years, written in English, and published between 1973 and 2008. Results: This literature review revealed that the efficacy and effectiveness of the closed suctioning system remains to be demonstrated. The device manufacturers' studies focused on cost reduction, crosscontamination, and preservation of the oxygen saturation of patients during endotracheal suctioning; however, the clinical studies focused on the use of closed suctioning systems to prevent ventilator-associated pneumonia. The reviewed studies had small sample sizes with heterogeneous demographics and nonrandomized controls. Recent studies suggest that closed suctioning systems are no better than open suctioning systems in terms of mortality, morbidity, or the cost-benefit ratio. A few studies did indicate that the closed suctioning system might reduce the loss of lung volume and oxygen desaturation. Conclusion:The studies reviewed in this article suggest that the evidence on the efficacy and effectiveness of closed suctioning systems is inconclusive. Only limited populations will benefit clinically from the use of this device. There is a need for further studies with randomized controlled trials to explore the use of closed suction systems and to update current clinical practise guidelines.

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Section: Historymentioning

confidence: 99%

Closed suctioning system: Critical analysis for its use

Harada

2010

Japan Journal Nursing Sci

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Determinants of Successful Selective Tracheobronchial Suctioning

Cited by 1 publication

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Closed suctioning system: Critical analysis for its use

Closed suctioning system: Critical analysis for its use

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