Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Tracheal suction by closed system without daily change versus open system.

Leonardo Lorente1, María Lecuona, Alejandro Jiménez

  • 1Department of Critical Care, Hospital Universitario de Canarias, Ofra s/n, La Cuesta, La Laguna, 38320, Santa Cruz de Tenerife, Spain. lorentemartin@msn.com

Intensive Care Medicine
|March 3, 2006
PubMed
Summary

Closed tracheal suction systems (CTSS) without daily changes are cost-effective for patients requiring mechanical ventilation longer than four days. This approach does not increase the incidence of ventilator-associated pneumonia (VAP).

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Telehealth Is Here to Stay-Let's Make It Equitable.

Journal of general internal medicine·2026
Same author

Comparison of External Load Demands Across Three Competitive Tiers in Spanish Football: A Three-Season Single-Club Study.

Journal of strength and conditioning research·2026
Same author

Computer-assisted adenoma detection colonoscopy with an ENDO-AID artificial intelligence system and Endocuff- versus Endocuff-assisted colonoscopy: A randomized controlled trial.

Gastroenterologia y hepatologia·2026
Same author

Low salivary thioredoxin-1 levels in periodontitis.

World journal of clinical cases·2026
Same author

Association Between Salivary Sirtuin-1 Levels and Periodontitis.

Journal of clinical medicine·2026
Same author

Rare genetic variant risks in patients with sepsis-associated acute respiratory distress syndrome.

Respiratory research·2026

Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Infection Control

Background:

  • Tracheal suctioning is essential for mechanically ventilated patients.
  • Closed tracheal suction systems (CTSS) are often recommended for daily replacement, increasing costs.
  • The necessity of daily replacement for CTSS requires investigation.

Purpose of the Study:

  • To compare the costs and incidence of ventilator-associated pneumonia (VAP) between CTSS without daily changes and open tracheal suction systems (OTSS).
  • To determine the optimal strategy for tracheal suctioning in intensive care units.

Main Methods:

  • A prospective, randomized study was conducted in a university hospital's Intensive Care Unit.
  • Patients requiring mechanical ventilation were randomized to either CTSS without daily change or OTSS.

Related Experiment Videos

  • Tracheal suctioning costs and VAP incidence were primary outcome measures.

    • Main Results:

    • No significant differences in VAP incidence (13.9% vs 14.1%) or related metrics were observed between CTSS and OTSS groups.
    • Overall tracheal suctioning costs per patient/day were similar between groups (2.3 vs 2.4 Euros).
    • For patients ventilated >4 days, CTSS without daily change was significantly less expensive (1.6 vs 2.5 Euros).

    Conclusions:

    • CTSS without daily change is a cost-effective strategy for patients requiring mechanical ventilation for over 4 days.
    • This approach does not compromise patient safety regarding VAP incidence.
    • Optimizing CTSS usage can reduce healthcare costs in critical care settings.