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Closed tracheal suction systems: effectiveness and nursing implications.

M L Noll, C D Hix, G Scott

    AACN Clinical Issues in Critical Care Nursing
    |August 1, 1990
    PubMed
    Summary
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    Closed tracheal suction systems (CTSS) offer benefits like better oxygenation and infection control during endotracheal suctioning. While concerns exist, strategies and recommendations are provided for safe nursing practice.

    Area of Science:

    • Respiratory care
    • Nursing practice

    Background:

    • Closed tracheal suction systems (CTSS) are utilized to mitigate complications during endotracheal suctioning.
    • Existing literature highlights various advantages and concerns associated with CTSS.

    Purpose of the Study:

    • To review the benefits and drawbacks of CTSS in clinical practice.
    • To share strategies for minimizing CTSS-related complications.
    • To provide recommendations for nursing practice and research.

    Main Methods:

    • Literature review and synthesis of current evidence on CTSS.
    • Identification of advantages, disadvantages, and management strategies for CTSS.

    Main Results:

    • CTSS offer benefits such as improved oxygenation, reduced hypoxemia signs, maintained PEEP, infection control, convenience, cost-effectiveness, and decreased patient anxiety.

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  • Concerns include autocontamination, reduced effectiveness, usability issues, excessive negative pressure, and airway trauma.

    • Conclusions:

    • CTSS present a valuable tool in respiratory care, but careful consideration of potential risks is necessary.
    • Implementing strategies to mitigate concerns can optimize the use of CTSS.
    • Further nursing research is recommended to enhance patient outcomes and safety.