[Endotracheal suctioning in neonates and children].
Endotracheal suction is essential to keep the respiratory capacity of the bronchial tree. The aim of this study was to establish the principles reducing potential side-effects, like hypoxia, bradycardia, hypotension, arrhythmia, nosocomial infections. Analysing the literature we have selected the following major beneficial factors: 1:2 to 2:3 cathether - tracheal tube diameter ratio, individual adjustment of the suctioning frequency, maximal duration of the procedure capped at 10-15 sec., minimal effective suctioning pressure of 80-100 mmHg. We have also determined that the following procedures should be also taken into consideration: preoxygenation (only for unstable patients), sedation and analgesia. We have concluded with the comparison of the two suction systems, pointing out that, especially for unstable patients, closed-suction system proves more suitable.
Wilińska
Maria
M
Oddział Kliniczny Neonatologii SPSK CMKP, 00-416 Warszawa. mariawilinska@yahoo.co.uk
Zielińska
Marzena
M
Szreter
Tadeusz
T
Lesiuk
Witold
W
Wilkowski
Jarosław
J
Ziółkowski
Janusz
J
Swietliński
Janusz
J
D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000517:prevention & control; D001919:Bradycardia / Q000209:etiology / Q000517:prevention & control; D002648:Child; D002675:Child, Preschool; D003428:Cross Infection / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007022:Hypotension / Q000209:etiology / Q000517:prevention & control; D000860:Hypoxia / Q000209:etiology / Q000517:prevention & control; D007223:Infant; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000379:methods*; D011300:Preoperative Care / Q000379:methods; D013396:Suction / Q000009:adverse effects / Q000379:methods*