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A Novel Visual Sputum Suctioning System is Useful for Endotracheal Suctioning in a Dog Model

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Specialty General Medicine
Date 2015 Feb 10
PMID 25663978
Citations 1
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Abstract

Objective: This study is to test the effectiveness of fiber-optic-guided endotracheal suction catheter (visual sputum suctioning system or VSSS) in dog models.

Methods: Dog sputum models were established by administering dimethoate emulsifiable. Twenty-seven intubated dogs were equally randomized into three groups of conventional suctioning (CS) group, VSSS with no supplemental oxygen (VSSS) group and VSSS with 100% oxygen (VSSS/O2) group. The suctioning efficiency, vital signs and tracheal wall injury were assessed.

Results: The VSSS/O2 (8.6 ± 0.7g) and VSSS groups (8.5 ± 0.9 g) collected significantly more sputum than the CS group (5.9 ± 0.8 g) (P < 0.05 for VSSS/O2 group versus CS group; P < 0.05 for VSSS group versus CS group). Immediately after suctioning, the arterial partial pressure of oxygen (PaO2 ) of VSSS/O2 group was significantly higher than that of the VSSS group or the CS group (both P < 0.05), and 5 min after suction the PaO2 , the mean arterial pressure (MAP) and heart rate (HR) in all groups returned to the baseline (p = 0.54, P = 0.67, P = 0.11, respectively). Moreover, in the VSSS/O2 and VSSS groups all the three variables were higher than the CS group at 5 min after suctioning (P < 0.01, P = 0.03; P = 0.02, P < 0.01; P = 0.02, P = 0.01 respectively).

Conclusions: Visual sputum suctioning system collected more sputum and caused less tracheal mucosa damage than conventional suctioning.

Citing Articles

Novel Visual Nasogastric Tube Insertion System: A Feasibility and Efficiency Study in a Manikin.

Li Q, Xie J, Wu J, Guo R, Ma W, Xu G Gastroenterol Res Pract. 2016; 2016:7532172.

PMID: 27994620 PMC: 5141553. DOI: 10.1155/2016/7532172.

References
1.
Chastre J, Fagon J . Ventilator-associated pneumonia. Am J Respir Crit Care Med. 2002; 165(7):867-903. DOI: 10.1164/ajrccm.165.7.2105078. View

2.
Allen G, Coates N . Pulmonary contusion: a collective review. Am Surg. 1996; 62(11):895-900. View

3.
Jongerden I, Kesecioglu J, Speelberg B, Buiting A, Leverstein-van Hall M, Bonten M . Changes in heart rate, mean arterial pressure, and oxygen saturation after open and closed endotracheal suctioning: a prospective observational study. J Crit Care. 2012; 27(6):647-54. DOI: 10.1016/j.jcrc.2012.02.016. View

4.
Bourgault A, Brown C, Hains S, Parlow J . Effects of endotracheal tube suctioning on arterial oxygen tension and heart rate variability. Biol Res Nurs. 2006; 7(4):268-78. DOI: 10.1177/1099800405285258. View

5.
Smyth C, Stead R . Survey of flexible fibreoptic bronchoscopy in the United Kingdom. Eur Respir J. 2002; 19(3):458-63. DOI: 10.1183/09031936.02.00103702. View