SUPPORT VENTILATION  SMART 2002 Milan, May 29-31, 2002 Free access

Minerva Anestesiologica 2002 May;68(5):360-4

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Closed versus open suctioning techniques

Maggiore S. M., Iacobone E., Zito G., Conti C., Antonelli M., Proietti R.

From the Istituto di Anestesia e Rianimazione Università Cattolica del Sacro Cuore Policlinico A. Gemelli, Roma

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.