当前位置： SCI文献检索 > JOURNAL OF CRITICAL CARE期刊下所有文献 > End-expiratory lung volume recovers more slowly after closed endotracheal suctioning than after open suctioning: a randomized crossover study.

End-expiratory lung volume recovers more slowly after closed endotracheal suctioning than after open suctioning: a randomized crossover study.

Abstract：

PURPOSE:Endotracheal suctioning causes significant lung derecruitment. Closed suction (CS) minimizes lung volume loss during suction, and therefore, volumes are presumed to recover more quickly postsuctioning. Conflicting evidence exists regarding this. We examined the effects of open suction (OS) and CS on lung volume loss during suctioning, and recovery of end-expiratory lung volume (EELV) up to 30 minutes postsuction. MATERIAL AND METHODS:Randomized crossover study examining 20 patients postcardiac surgery. CS and OS were performed in random order, 30 minutes apart. Lung impedance was measured during suction, and end-expiratory lung impedance was measured at baseline and postsuctioning using electrical impedance tomography. Oximetry, partial pressure of oxygen in the alveoli/fraction of inspired oxygen ratio and compliance were collected. RESULTS:Reductions in lung impedance during suctioning were less for CS than for OS (mean difference, -905 impedance units; 95% confidence interval [CI], -1234 to -587; P < .001). However, at all points postsuctioning, EELV recovered more slowly after CS than after OS. There were no statistically significant differences in the other respiratory parameters. CONCLUSIONS:Closed suctioning minimized lung volume loss during suctioning but, counterintuitively, resulted in slower recovery of EELV postsuction compared with OS. Therefore, the use of CS cannot be assumed to be protective of lung volumes postsuctioning. Consideration should be given to restoring EELV after either suction method via a recruitment maneuver.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Corley A,Spooner AJ,Barnett AG,Caruana LR,Hammond NE,Fraser JF

doi

10.1016/j.jcrc.2012.08.019

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

742.e1-7

issue

6

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(12)00303-6

journal_volume

27

pub_type

杂志文章,随机对照试验

相关文献

JOURNAL OF CRITICAL CARE文献大全
  • Development and validation of a novel fusion algorithm for continuous, accurate, and automated R-wave detection and calculation of signal-derived metrics.

    abstract：PURPOSE:Previous studies have shown that heart rate complexity may be a useful indicator of patient status in the critical care environment but will require continuous, accurate, and automated R-wave detection (RWD) in the electrocardiogram (ECG). Although numerous RWD algorithms exist, accurate detection remains a cha...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2013.02.015

    authors： Liu NT,Batchinsky AI,Cancio LC,Baker WL Jr,Salinas J

    更新日期：2013-10-01 00:00:00

  • Recruitment manoeuvres for adults with acute respiratory distress syndrome receiving mechanical ventilation: a systematic review and meta-analysis.

    abstract：PURPOSE:To determine if recruitment manoeuvres (RMs) would decrease 28-day mortality of patients with acute respiratory distress syndrome (ARDS) compared with standard care. MATERIALS AND METHODS:Relevant randomized controlled trials (RCTs) published prior to April 26, 2018 were systematically searched. The primary ou...

    journal_title：Journal of critical care

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.jcrc.2018.10.033

    authors： Kang H,Yang H,Tong Z

    更新日期：2019-04-01 00:00:00

  • Continuous jugular bulb venous oxygen saturation validation and variations during intracranial aneurysm surgery.

    abstract：PURPOSE:During intracranial aneurysm surgery, numerous factors may alter cerebral blood flow and oxygen supply-demand balance. Continuous monitoring of jugular bulb venous oxygen saturation (SvjO2) may help in the anesthetic management of such procedures. MATERIALS AND METHODS:Fiberoptic SvjO2 was continuously monitor...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/s0883-9441(97)90040-x

    authors： Clavier N,Schurando P,Raggueneau JL,Payen DM

    更新日期：1997-09-01 00:00:00

  • Bedside implantation of a new temporary vena cava inferior filter - Safety and efficacy results of the European ANGEL-Registry.

    abstract：PURPOSE:Pulmonary embolism (PE) is a frequently occurring complication in critically ill patients. Simultaneous occurrence of PE and life-threatening bleeding, may render medical anticoagulation impossible. For these patients, inferior vena cava filters (IVCF) present a valuable therapeutic alternative. The Angel® cath...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.10.009

    authors： Baumann S,Becher T,Giannakopoulos K,Jabbour C,Rutsch M,Fastner C,El-Battrawy I,Ansari U,Lossnitzer D,Behnes M,Alonso A,Kirschning T,Michels G,Stern D,Dissmann R,Kueck O,Taccone FS,Waldmann C,Bunker N,Postiglione M,

    更新日期：2018-04-01 00:00:00

  • Influence of smart real-time electronic alerting on glucose control in critically ill patients.

    abstract：PURPOSE:Hyperglycemia and hypoglycemia are frequently encountered in critically ill patients and associated with adverse outcomes. We configured a smart glycemia alert (S-GLY alert) with our Intensive Care Information System to decrease the number of hyperglycemic values and increase the proportion of time within the g...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.07.030

    authors： Colpaert K,Oeyen S,Sijnave B,Peleman R,Benoit D,Decruyenaere J

    更新日期：2015-02-01 00:00:00

  • Predictors for mortality after prolonged mechanical ventilation after cardiac surgery in children.

    abstract：PURPOSE:To identify early mortality-associated clinical risk factors preceding, during, and after cardiac surgery in children. MATERIALS AND METHODS:Of the 722 children admitted to our pediatric intensive care unit (PICU) from January 1992 to January 1997 after repair of congenital heart defects, 70 required 48 hours ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1053/jcrc.2002.36760

    authors： Ben-Abraham R,Efrati O,Mishali D,Yulia F,Vardi A,Barzilay Z,Paret G

    更新日期：2002-12-01 00:00:00

  • Are thromboelastometric and thromboelastographic parameters associated with mortality in septic patients? A systematic review and meta-analysis.

    abstract：BACKGROUND:Thromboelastometry/elastography (ROTEM/TEG) showed promising results for diagnosis of sepsis-induced coagulopathy, but their association with the outcome is unclear. Our aim was to assess any difference in ROTEM/TEG measurements between septic survivors and non-survivors. METHODS:Pubmed, Web of Science, Emb...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2020.09.034

    authors： Boscolo A,Spiezia L,De Cassai A,Pasin L,Pesenti E,Zatta M,Zampirollo S,Andreatta G,Sella N,Pettenuzzo T,Rose K,Simioni P,Navalesi P

    更新日期：2021-02-01 00:00:00

  • Impaired renal function is associated with greater urinary strong ion differences in critically ill patients with metabolic acidosis.

    abstract：PURPOSE:Urinary excretion of chloride corrects metabolic acidosis, but this may be hampered in patients with impaired renal function. We explored the effects of renal function on acid-base characteristics and urinary strong ion excretion using the Stewart approach in critically ill patients with metabolic acidosis. MA...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2011.05.028

    authors： Moviat M,Terpstra AM,van der Hoeven JG,Pickkers P

    更新日期：2012-06-01 00:00:00

  • Ultrasound-guided laryngeal air column width difference and the cuff leak volume in predicting the effectiveness of steroid therapy on postextubation stridor in adult. Are they useful?

    abstract：OBJECTIVE:To evaluate the effectiveness of steroids therapy on postextubation stridor (PES) depending on the clinical response, the ultrasound guided laryngeal air column width difference (LACWD) and the cuff leak volume (CLV). DESIGN:Prospective, observer-blinded study. SETTING:Carried out in intensive care unit in ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2016.07.007

    authors： El-Baradey GF,El-Shmaa NS,Elsharawy F

    更新日期：2016-12-01 00:00:00

  • Predictive value of plasma biomarkers for mortality and organ failure development in patients with acute respiratory distress syndrome.

    abstract：PURPOSE:To evaluate the predictive value of 6 different biomarkers in the development of multiple-organ failure (MOF) and mortality in a contemporary prospective cohort of acute respiratory distress syndrome (ARDS). METHODS:Patients with ARDS admitted to a tertiary referral center during an 8-month period were include...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.09.001

    authors： Cartin-Ceba R,Hubmayr RD,Qin R,Peters S,Determann RM,Schultz MJ,Gajic O

    更新日期：2015-02-01 00:00:00

  • Predicting success of high-flow nasal cannula in pneumonia patients with hypoxemic respiratory failure: The utility of the ROX index.

    abstract：PURPOSE:The purpose of the study is to describe early predictors and to develop a prediction tool that accurately identifies the need for mechanical ventilation (MV) in pneumonia patients with hypoxemic acute respiratory failure (ARF) treated with high-flow nasal cannula (HFNC). MATERIALS AND METHODS:This is a 4-year ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2016.05.022

    authors： Roca O,Messika J,Caralt B,García-de-Acilu M,Sztrymf B,Ricard JD,Masclans JR

    更新日期：2016-10-01 00:00:00

  • Right-to-left ventricular end diastolic diameter ratio in severe sepsis and septic shock.

    abstract：PURPOSE:The ratio of right ventricular end-diastolic diameter (EDD) to left ventricular EDD (RV/LV) is a measure predictive of right ventricular failure. We hypothesized that an increase in RV/LV would be associated with poor prognosis in severe sepsis and septic shock. MATERIALS AND METHODS:This is a retrospective ch...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.09.025

    authors： Cirulis MM,Huston JH,Sardar P,Suksaranjit P,Wilson BD,Hatton ND,Liou TG,Ryan JJ

    更新日期：2018-12-01 00:00:00

  • A prospective study of fungal biomarkers to improve management of invasive fungal diseases in a mixed specialty critical care unit.

    abstract：PURPOSE:The diagnosis of invasive fungal diseases (IFD) in critical care patients (CrCP) is difficult. The study investigated the performance of a set of biomarkers for diagnosis of IFD in a mixed specialty critical care unit (CrCU). METHODS:A prospective observational study in patients receiving critical care for ≥7d...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.03.025

    authors： Talento AF,Dunne K,Joyce EA,Palmer M,Johnson E,White PL,Springer J,Loeffler J,Ryan T,Collins D,Rogers TR

    更新日期：2017-08-01 00:00:00

  • The clinical features of severe community-acquired pneumonia presenting as septic shock. Norasept II Study Investigators.

    abstract：PURPOSE:The purpose of this article was to determine the outcome, clinical and prognostic features, and microbiology of a large group of patients with community-acquired pneumonia (CAP) presenting in septic shock. MATERIALS AND METHODS:The placebo limb of the Norasept II database was examined. Data were collected on p...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1053/jcrc.2000.16460

    authors： Marik PE

    更新日期：2000-09-01 00:00:00

  • A critical appraisal of the accuracy of the RIFLE and AKIN classifications in defining "acute kidney insufficiency" in critically ill patients.

    abstract：PURPOSE:The lack of a consensus definition for acute kidney injury (AKI) has led to a great deal of discrepancies and confusion in the literature in this field. Thus, the RIFLE (Risk of renal dysfunction, Injury to the kidney, Failure of kidney function, Loss of kidney function and End-stage renal disease) and Acute Ki...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2012.06.012

    authors： Valette X,du Cheyron D

    更新日期：2013-04-01 00:00:00

  • Troponin-I as a prognosticator of mortality in severe sepsis patients.

    abstract：PURPOSE:The purpose of this retrospective study was to evaluate cardiac troponin-I (cTnI) as a 28-day mortality prognosticator and predictor for a drotrecogin alfa (activated) (DrotAA) survival benefit in recombinant human activated Protein C Worldwide Evaluation in Severe Sepsis patients. METHODS:Cardiac troponin-I w...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.12.001

    authors： John J,Woodward DB,Wang Y,Yan SB,Fisher D,Kinasewitz GT,Heiselman D

    更新日期：2010-06-01 00:00:00

  • Constipation in intensive care unit: incidence and risk factors.

    abstract：PURPOSE:Although gastrointestinal motility disorders are common in critically ill patients, constipation and its implications have received very little attention. We aimed to determine the incidence of constipation to find risk factors and its implications in critically ill patients MATERIALS AND METHODS:During a 6-mo...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.03.007

    authors： Nassar AP Jr,da Silva FM,de Cleva R

    更新日期：2009-12-01 00:00:00

  • Predictors of extraventricular drain-associated bacterial ventriculitis.

    abstract：PURPOSE:Bacterial ventriculitis (BV) may develop in patients requiring external ventricular drains (EVDs). The purpose of this study was to determine predictors of EVD-associated BV onset. MATERIALS AND METHODS:A retrospective review of Duke University Hospital patients with EVD device placement between January 2005 a...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2013.08.012

    authors： Williamson RA,Phillips-Bute BG,McDonagh DL,Gray MC,Zomorodi AR,Olson DM,Britz GW,Laskowitz DT,James ML

    更新日期：2014-02-01 00:00:00

  • Sample entropy predicts lifesaving interventions in trauma patients with normal vital signs.

    abstract：INTRODUCTION:Heart rate complexity, commonly described as a "new vital sign," has shown promise in predicting injury severity, but its use in clinical practice is not yet widely adopted. We previously demonstrated the ability of this noninvasive technology to predict lifesaving interventions (LSIs) in trauma patients. ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.03.018

    authors： Naraghi L,Mejaddam AY,Birkhan OA,Chang Y,Cropano CM,Mesar T,Larentzakis A,Peev M,Sideris AC,Van der Wilden GM,Imam AM,Hwabejire JO,Velmahos GC,Fagenholz PJ,Yeh D,de Moya MA,King DR

    更新日期：2015-08-01 00:00:00

  • The effects of transjugular intrahepatic portosystemic stent shunt on systemic cardiocirculatory parameters.

    abstract：PURPOSE:We aimed to evaluate the effects of transjugular intrahepatic portosystemic stent shunt (TIPS) on systemic cardiocirculatory parameters in patients treated with TIPS for portal hypertension-associated complications. MATERIALS AND METHODS:This prospective study was conducted in an intensive care unit of a Germa...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.06.028

    authors： Saugel B,Mair S,Meidert AS,Phillip V,Messer M,Nennstiel S,Berger H,Gaa J,Wagner JY,Schneider H,Schmid RM,Huber W

    更新日期：2014-12-01 00:00:00

  • Using electronic medical record data for clinical workflow and analysis: a single center experience.

    abstract：:This paper focuses on the use of data from an electronic medical record (EMR) within a multi-facility health care organization. It describes how health provider workflow is enhanced by extracting data from multiple sources in a near real-time fashion and presenting it to the user in ways that are unavailable in the el...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2004.09.003

    authors： Wagner M,Collins B

    更新日期：2004-12-01 00:00:00

  • Music and biological stress dampening in mechanically-ventilated patients at the intensive care unit ward-a prospective interventional randomized crossover trial.

    abstract：PURPOSE:To evaluate the impact of slow-tempo music listening periods in mechanically ventilated intensive care unit patients. METHODS:A randomized crossover study was performed in a 16-bed, adult critical care unit at a tertiary care hospital. Still-sedated patients, mandating at least 3 more days of mechanical ventil...

    journal_title：Journal of critical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrc.2013.01.007

    authors： Beaulieu-Boire G,Bourque S,Chagnon F,Chouinard L,Gallo-Payet N,Lesur O

    更新日期：2013-08-01 00:00:00

  • Recovery of cough after extubation after coronary artery bypass grafting: A prospective study.

    abstract：PURPOSE:This study aims to evaluate the effect of intubation for coronary artery bypass grafting (CABG) on the cough reflex, an important airway protection mechanism. MATERIALS:Eighty-six participants (70 males) underwent cough reflex texting (CRT) before intubation for CABG to establish baseline threshold for reflexi...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.03.013

    authors： Kallesen M,Psirides A,Huckabee ML

    更新日期：2015-08-01 00:00:00

  • Pandemic influenza-implications for critical care resources in Australia and New Zealand.

    abstract：OBJECTIVES:To quantify resource requirements (additional beds and ventilator capacity), for critical care services in the event of pandemic influenza. MATERIALS AND METHODS:Cross-sectional survey about existing and potential critical care resources. Participants comprised 156 of the 176 Australasian (Australia and New...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2003.08.008

    authors： Anderson TA,Hart GK,Kainer MA,ANZICS Database Management Committee.

    更新日期：2003-09-01 00:00:00

  • Building safety into ICU care.

    abstract：:The Institute of Medicine's (IOMs) report, "To Err is Human," recently addressed patient safety in the United States, alerting the nation to the need for improved systems of health care. Seven main findings were addressed in this report, we focus on 3: (1) patient safety is a nationwide problem, (2) health care worker...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1053/jcrc.2002.34363

    authors： Pronovost P,Wu AW,Dorman T,Morlock L

    更新日期：2002-06-01 00:00:00

  • Discordance in interpretation of chest radiographs between pediatric intensivists and a radiologist: impact on patient management.

    abstract：PURPOSE:When radiologists are not available, chest radiographs (CXRs) of pediatric intensive care unit (PICU) patients are commonly interpreted by pediatric intensivists. We prospectively investigated the frequency of errors in CXR interpretation by pediatric intensivists and their impact on patient management. MATERI...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.05.016

    authors： Nesterova GV,Leftridge CA Jr,Natarajan AR,Appel HJ,Bautista MV,Hauser GJ

    更新日期：2010-06-01 00:00:00

  • Effect of alpha-adrenoreceptor stimulation on the diaphragmatic oxygen delivery-consumption relationship.

    abstract：PURPOSE:In the vascularly isolated canine hemidiaphragm, we tested the hypothesis that alpha-adrenoreceptor stimulation may influence diaphragmatic function and O2 extraction during reductions in O2 delivery (QO2di). METHODS:The diaphragm was perfused using a constant flow pump with blood diverted from the left femora...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/s0883-9441(96)90016-7

    authors： Ward ME,Hussain SN

    更新日期：1996-03-01 00:00:00

  • Thoracocardiography: noninvasive monitoring of left ventricular stroke volume.

    abstract：PURPOSE:Thoracocardiography noninvasively monitors global stroke volume by inductive plethysmographic recording of ventricular volume curves as previously validated by thermodilution. Our purpose was to investigate the potential of thoracocardiography to individually assess stroke volume of the left ventricle. We hypot...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/s0883-9441(98)90019-3

    authors： Bloch KE,Jugoon S,de Socarraz H,Manning K,Sackner MA

    更新日期：1998-09-01 00:00:00

  • The role of total bile acid in oral secretions in ventilator-associated pneumonia.

    abstract：PURPOSE:The aim of this study was to investigate the role of inflammatory biomarkers and total bile acid (TBA) in oral secretions in the development of ventilator-associated pneumonia (VAP). MATERIALS:This prospective study was conducted in an intensive care unit. Oral secretions were collected from mechanically venti...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2011.12.008

    authors： Tsai HC,Lin FC,Chen YC,Chang SC

    更新日期：2012-10-01 00:00:00

  • Diarrhea and patient outcomes in the intensive care unit: Systematic review and meta-analysis.

    abstract：PURPOSE:We aimed to determine whether diarrhea experienced by patients in the intensive care unit (ICU) is related to their clinical outcomes. MATERIAL AND METHODS:We performed a systematic review and meta-analysis. We searched the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, and the World ...

    journal_title：Journal of critical care

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.jcrc.2019.06.014

    authors： Taito S,Kawai Y,Liu K,Ariie T,Tsujimoto Y,Banno M,Kataoka Y

    更新日期：2019-10-01 00:00:00