March 2009. Volume 5. Number 1

Tracheal closed suctioning, compared to open, has not proven to be more efficient and safer in mechanically ventilated neonates

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Hoellering AB, Copnell B, Dargaville PA, Mills JF, Morley CJ, Tingay DG. Lung volume and cardiorespiratory changes during open and closed endotracheal suction in ventilated newborn infants. Arc Dis Child Fetal Neonatal Ed. 2008;93;F436-41
Reviewers: Aparicio Sánchez JL1, Modesto i Alapont V2.
1Servicio de Pediatría. Hospital General de Lanzarote. Gran Canaria. España.
2Unidad de Cuidados Intensivos Pediátricos. Hospital Infantil La Fe. Valencia. España.
Correspondence: José Luis Aparicio Sánchez. Email: japaricio1970@gmail.com
Reception date: 17/02/2009
Acceptance date: 19/02/2009
Publication date: 21/02/2009

Abstract

Authors' conclusions: in newborns under mechanichal ventilation (SIMV, HFV), open and closed tracheal suction cause similar transitory reduction of the lung volume, heart rate and oxygen saturation. Closed suction only seems to be better than the open one in the lung volume recovery time, that is slightly smaller, but only in patients under HFV (not in those with SIMV).

Reviewers' comantary: the most severe infants were excluded from the study and this could be a limitation to its clinical applicatibility. New better designed studies are necessary in order to know if there is any difference between closed and open tracheal suction.

How to cite this article

Aparicio Sánchez JL, Modesto i Alapont V. En neonatos ventilados mecánicamente, la aspiración traqueal cerrada, comparada con la aierta, no ha demostrado ser más eficaz y segura. Evid Pediatr. 2009;5:23.

AVC | Critically appraised articles

Hoellering AB, Copnell B, Dargaville PA, Mills JF, Morley CJ, Tingay DG. Lung volume and cardiorespiratory changes during open and closed endotracheal suction in ventilated newborn infants. Arc Dis Child Fetal Neonatal Ed. 2008;93;F436-41
Reviewers: Aparicio Sánchez JL1, Modesto i Alapont V2.
1Servicio de Pediatría. Hospital General de Lanzarote. Gran Canaria. España.
2Unidad de Cuidados Intensivos Pediátricos. Hospital Infantil La Fe. Valencia. España.
Correspondence: José Luis Aparicio Sánchez. Email: japaricio1970@gmail.com
Reception date: 17/02/2009
Acceptance date: 19/02/2009
Publication date: 21/02/2009

How to cite this article

Aparicio Sánchez JL, Modesto i Alapont V. En neonatos ventilados mecánicamente, la aspiración traqueal cerrada, comparada con la aierta, no ha demostrado ser más eficaz y segura. Evid Pediatr. 2009;5:23.

References

  1. Subirana M, Solà I, Benito S. Sistemas de aspiración traqueal cerrados versus sistemas de aspiración traqueal abiertos para pacientes adultos con ventilación mecánica (Revisión Cochrane traducida). En: La Biblioteca Cochrane Plus, 2008 Número 4. Oxford: Update Software Ltd. Disponible en: http://www.update-software.com. (Traducida de The Cochrane Library, 2008 Issue 2. Chichester, UK: John Wiley & Sons, Ltd.).
  2. Woodgate PG, Flenady V. Aspiraciónón traqueal sin desconexión en recién nacidos intubados con asistencia respiratoria (Revisión Cochrane traducida). En: La Biblioteca Cochrane Plus, 2008 Número 2. Oxford: Update Software Ltd. Disponible en: http://www.update-software.com. (Traducida de The Cochrane Library, 2008 Issue 2. Chichester, UK: John Wiley & Sons, Ltd.).
21/02/2009

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