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 Concept Videos

Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...

You might also read

Related Articles

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

Sort by
Same author

Patient-Ventilator Interaction: Timing Discordance in Invasive Ventilation.

Respiratory care·2026
Same author

Automated control of inspired oxygen in mechanically ventilated trauma and acute care surgery patients: A randomized controlled trial.

The journal of trauma and acute care surgery·2026
Same author

Mathematical modeling of the respiratory system in swine with acute respiratory distress syndrome.

Physiological measurement·2026
Same author

Gender equality and equity in intensive care: an international Delphi consensus study.

Intensive care medicine·2026
Same author

Impact of Heating Inspired Gases During Mechanical Ventilation on Resolution of Hypothermia in a Porcine Model.

Respiratory care·2026
Same author

Enhancing home oxygen therapy: automation to facilitate ambulation.

Thorax·2025

Related Experiment Videos

Secretion management in the mechanically ventilated patient.

Richard D Branson1

  • 1Department of Surgery, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH 45267-0558, USA. richard.branson@uc.edu

Respiratory Care
|September 27, 2007
PubMed
Summary

Effective secretion management for mechanically ventilated patients relies on adequate humidification and as-needed airway suctioning. Other techniques lack strong evidence, highlighting the need for further research in this critical care area.

Related Experiment Videos

Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Pulmonology

Background:

  • Secretion management is crucial for mechanically ventilated patients to maintain airway patency and prevent complications.
  • Routine interventions like patient mobilization and turning have limited evidence supporting their efficacy in secretion removal.
  • Humidification is a standard of care, essential for preserving mucociliary function.

Purpose of the Study:

  • To review current evidence on secretion management techniques for mechanically ventilated patients.
  • To identify the most effective methods for maintaining mucociliary function and removing secretions.
  • To highlight areas where further research is needed.

Main Methods:

  • Literature review of studies on secretion management in mechanically ventilated patients.
  • Analysis of evidence supporting routine and intermittent secretion removal techniques.
  • Evaluation of humidification methods, airway suctioning, and adjunctive therapies.

Main Results:

  • Adequate humidification (heated preferred for copious secretions) and as-needed airway suctioning are foundational.
  • Techniques like saline instillation, percussion, postural drainage, and manual hyperinflation lack sufficient evidence for routine use.
  • Continuous lateral rotation and intrapulmonary percussive ventilation show limited or insufficient evidence for routine application.

Conclusions:

  • Optimal secretion management in mechanically ventilated patients involves appropriate humidification and judicious airway suctioning.
  • Intermittent techniques may be considered for persistent secretion retention, guided by the suspected cause.
  • Further research is essential to establish evidence-based practices for all secretion management strategies.