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- Title
Endotracheal tube management during mechanical ventilation: less is more!
- Authors
Kacmarek, Robert M.; Li Bassi, Gianluigi
- Abstract
Care of the endotracheal tube (ETT) is frequently not the primary focus of ventilatory management of the critically ill, but it does have a major impact on the trajectory of recovery and complications that can extend long after the patient is extubated. Artificial airways should never be suctioned at regular intervals, because of the risks of tracheal injury when secretions are not retained within the airways [[12]]. Airway suction should only occur if auscultation reveals secretions in the larger airway, the peak airway pressures increases, or the airway pressure waveform indicates fluid in the system, i.e., sawtooth pattern. More, however, can cause airway injury, ventilator-induced lung injury, desaturation and cardiovascular compromise.
- Subjects
ENDOTRACHEAL suctioning; ENDOTRACHEAL tubes
- Publication
Intensive Care Medicine, 2019, Vol 45, Issue 11, p1632
- ISSN
0342-4642
- Publication type
journal article
- DOI
10.1007/s00134-019-05777-w