Comparison of Suction Rates Between a Standard Yankauer, a Commercial Large-Bore Suction Device, and a Makeshift Large-Bore Suction Device
| Autor: | Jestin N. Carlson, Andrew Heslin, Dhimitri A. Nikolla, Briana King |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Meconium
Suction (medicine) medicine.medical_specialty Catheters business.industry medicine.medical_treatment Infant Newborn Suction catheter 030208 emergency & critical care medicine Aspirator Suction Catheterization Surgery 03 medical and health sciences Catheter 0302 clinical medicine Intubation Intratracheal Emergency Medicine medicine Humans Airway management 030212 general & internal medicine business Endotracheal tube |
| Zdroj: | The Journal of Emergency Medicine. 61:265-270 |
| ISSN: | 0736-4679 |
| Popis: | Background Commercial large-bore suction catheters and makeshift large-bore suction catheters with an endotracheal tube (ETT) attached to a meconium aspirator have been shown to have superior suction rates compared with a standard Yankauer. Objectives To compare suction rates between a commercial large-bore suction catheter and a makeshift endotracheal tube—meconium aspirator (ETTMA) combination. Methods We measured suction rates between a standard bulb-tip Yankauer catheter (Model: K86; Cardinal Health, Waukegan, IL), a commercial large-bore catheter (Part: 43200; The Big Stick®, SSCOR, Inc., Sun Valley, CA), and an 8.0-mm standard ETT connected to a meconium aspirator (NeotechTM Products, Inc., Valencia, CA; Ref: N0101 Clear) with high-, medium-, and low-viscosity fluids. Median suction rates were calculated with interquartile ranges. The relative differences with 95% confidence intervals (CI) between the Yankauer and both the large-bore catheter and the ETTMA combination were calculated using a linear mixed-effects model. Results Each device was trialed five times with each of the three different viscosity fluids for a total of 45 trials. Overall, suction rates were faster for the large-bore suction catheter compared with the Yankauer (relative difference 22 mL/s; 95% CI 17–28) and ETTMA (8 mL/s; 95% CI 5–10). The large-bore catheter had consistently faster suction rates compared with the Yankauer and ETTMA combination across all fluid viscosities. Conclusions The commercial large-bore suction catheter had faster suction rates than the makeshift ETTMA combination when compared with the standard Yankauer. |
| Databáze: | OpenAIRE |
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