Closed Endotracheal Suctioning Impact on Ventilator-Related Parameters in Obstructive and Restrictive Respiratory Systems: A Bench Study
| Autor: | Shih-Hsing Yang, Shang-Shing P. Chou, Fang Jung, Guey-Mei Jow, Jau-Chen Lin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Suction (medicine)
Technology QH301-705.5 medicine.medical_treatment QC1-999 ventilator-related parameters Peak inspiratory pressure Pulmonary compliance mechanical ventilation 03 medical and health sciences 0302 clinical medicine Airway resistance closed suctioning system medicine General Materials Science 030212 general & internal medicine Biology (General) Instrumentation QD1-999 Fluid Flow and Transfer Processes Mechanical ventilation business.industry Process Chemistry and Technology Physics General Engineering COVID-19 Suction Procedure Engineering (General). Civil engineering (General) Computer Science Applications Chemistry 030228 respiratory system Anesthesia Breathing endotracheal tube suctioning Airway management TA1-2040 business pulmonary mechanic |
| Zdroj: | Applied Sciences Volume 11 Issue 11 Applied Sciences, Vol 11, Iss 5266, p 5266 (2021) |
| ISSN: | 2076-3417 |
| DOI: | 10.3390/app11115266 |
| Popis: | A closed suctioning system (CSS) in patients with coronavirus disease 2019 (COVID-19) prevents spraying respiratory secretions into the environment during suction. However, it is not clear whether ventilation is maintained during the suction procedure, especially in patients with compromised pulmonary mechanics. This paper determines the effects of endotracheal tube (ETT) size, suction catheter size, and two lung mechanics (resistance and compliance) on ventilator-related parameters measured during suction. Suction was performed on an adult training lung, ventilated with either volume-controlled (VC-CMV) or pressure-controlled mandatory ventilation (PC-CMV), using ETT sizes of 6.5–8.0 mm paired with suction catheter sizes of 8–14 French (Fr). Peak inspiratory pressure (PIP) increased by 50% when the ETT’s ventilation area was less than 25 mm2 in size, especially in patients with high airway resistance ventilated with VC-CMV. Positive end-expiratory pressure (PEEP) levels significantly decreased when using 14 Fr SC during VC-CMV and fewer effects during PC-CMV. Change of expiratory minute volume increased with higher outer diameter of suction catheters and decreased with severe lung compliance during PC-CMV. The change in ventilator-related parameters were intently monitored in the patient whose pulmonary mechanic was compromised through the CSS endotracheal tube suctioning procedures in clinical airway management. |
| Databáze: | OpenAIRE |
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