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Related Concept Videos

Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

212
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
212
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

403
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
403
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

544
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
544
Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

353
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...
353
Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

132
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...
132
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

240
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Updated: Jul 1, 2025

Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia
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Open versus Closed Suctioning Among Mechanically Ventilated Pediatric Patients: A Randomised Control Trial.

Subhranshu Sekhar Dhal1,2, Rajiv Aggarwal1, Hiremath Sagar1

  • 1Department of Pediatrics, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, Karnataka, India.

Indian Journal of Pediatrics
|March 13, 2024
PubMed
Summary

The closed tracheal suction system (CTSS) and open tracheal suction system (OTSS) showed similar rates of ventilator-associated pneumonia (VAP) in pediatric patients. However, CTSS was associated with more infection-related ventilator-associated conditions (IVAC).

Keywords:
Closed tracheal suctioningIVACOpen tracheal suctioningPICUVAP

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Area of Science:

  • Critical Care Medicine
  • Pediatric Pulmonology
  • Infectious Disease Control

Background:

  • Ventilator-associated pneumonia (VAP) is a significant concern in mechanically ventilated pediatric patients.
  • Tracheal suctioning is essential for airway management but can introduce pathogens.
  • Both closed tracheal suction systems (CTSS) and open tracheal suction systems (OTSS) are used, with varying reported efficacies.

Purpose of the Study:

  • To compare the efficacy of CTSS versus OTSS in reducing VAP incidence in pediatric patients.
  • To evaluate the impact of CTSS and OTSS on cardio-respiratory parameters, mortality, and intubation duration.
  • To assess the incidence of infection-related ventilator-associated conditions (IVAC) between the two suction systems.

Main Methods:

  • A single-center, parallel-group, open-label, randomized controlled study with 1:1 allocation.
  • 116 pediatric patients requiring mechanical ventilation were randomized to either CTSS or OTSS.
  • Demographic, clinical, laboratory parameters, and treatment outcomes were recorded.

Main Results:

  • The overall incidence of VAP was similar between CTSS and OTSS groups (7.75%).
  • A significantly higher number of IVAC were observed in the CTSS group compared to the OTSS group (RR 3.5).
  • Oxygen saturation (SpO2) was better maintained post-suction in the CTSS group (p=0.001), while mortality and intubation days were similar.

Conclusions:

  • The incidence of VAP is comparable between CTSS and OTSS in pediatric patients.
  • CTSS may be associated with a higher risk of IVAC despite similar VAP rates.
  • Further research is needed to optimize suctioning strategies for pediatric mechanical ventilation.