Anesthesiology and Pain Medicine

Published by: Kowsar

Evaluating the Effects of Post-Intubation Endotracheal Suctioning Before Surgery on Respiratory Parameters in Children with Airway Secretion

Mahin Seyedhejazi 1 , Dariush Sheikhzade 1 , Behzad Aliakbari Sharabiani 1 , Reyhaneh Abri ORCID 1 , * and Mahsa Sadeghian 2
Authors Information
1 Department of Anesthesiology and Critical Care, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
2 Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Article information
  • Anesthesiology and Pain Medicine: 9 (3); e86486
  • Published Online: June 24, 2019
  • Article Type: Research Article
  • Received: November 17, 2018
  • Revised: June 1, 2019
  • Accepted: June 9, 2019
  • DOI: 10.5812/aapm.86486

To Cite: Seyedhejazi M, Sheikhzade D, Aliakbari Sharabiani B, Abri R, Sadeghian M. Evaluating the Effects of Post-Intubation Endotracheal Suctioning Before Surgery on Respiratory Parameters in Children with Airway Secretion, Anesth Pain Med. Online ahead of Print ; 9(3):e86486. doi: 10.5812/aapm.86486.

Copyright © 2019, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. American Association for Respiratory Care. AARC clinical practice guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. Respir Care. 2010;55(6):758-64. [PubMed: 20507660].
  • 2. Morrow B, Futter M, Argent A. Effect of endotracheal suction on lung dynamics in mechanically-ventilated paediatric patients. Aust J Physiother. 2006;52(2):121-6. [PubMed: 16764549].
  • 3. Cignacco E, Hamers J, van Lingen RA, Stoffel L, Buchi S, Muller R, et al. Neonatal procedural pain exposure and pain management in ventilated preterm infants during the first 14 days of life. Swiss Med Wkly. 2009;139(15-16):226-32. [PubMed: 19418306].
  • 4. Mohammadpour A, Amini S, Shakeri MT, Mirzaei S. Comparing the effect of open and closed endotracheal suctioning on pain and oxygenation in post CABG patients under mechanical ventilation. Iran J Nurs Midwifery Res. 2015;20(2):195-9. [PubMed: 25878695]. [PubMed Central: PMC4387642].
  • 5. Adib M, Ghanbari A, Alavi CE, Kazemnezhad Leyli E. Effect of endotracheal suctioning with and without normal saline on hemodynamic and respiratory parameters in patients undergoing mechanical ventilation in ICU of hospitals supervised by Guilan University of Medical Sciences. Biomed Pharmacol J. 2014;7(2):515-23. doi: 10.13005/bpj/519.
  • 6. Pournajafian AR, Ghodraty MR, Faiz SH, Rahimzadeh P, Goodarzynejad H, Dogmehchi E. Comparing GlideScope video laryngoscope and Macintosh laryngoscope regarding hemodynamic responses during orotracheal intubation: A randomized controlled trial. Iran Red Crescent Med J. 2014;16(4). e12334. doi: 10.5812/ircmj.12334. [PubMed: 24910788]. [PubMed Central: PMC4028761].
  • 7. Gillies D, Spence K. Deep versus shallow suction of endotracheal tubes in ventilated neonates and young infants. Cochrane Database Syst Rev. 2011;(7). CD003309. doi: 10.1002/14651858.CD003309.pub2. [PubMed: 21735391].
  • 8. Zeitoun SS, de Barros AL, Diccini S. A prospective, randomized study of ventilator-associated pneumonia in patients using a closed vs. open suction system. J Clin Nurs. 2003;12(4):484-9. [PubMed: 12790861].
  • 9. Peter JV, Chacko B, Moran JL. Comparison of closed endotracheal suction versus open endotracheal suction in the development of ventilator-associated pneumonia in intensive care patients: an evaluation using meta-analytic techniques. Indian J Med Sci. 2007;61(4):201-11. [PubMed: 17401257].
  • 10. Hamishekar H, Shadvar K, Taghizadeh M, Golzari SE, Mojtahedzadeh M, Soleimanpour H, et al. Ventilator-associated pneumonia in patients admitted to intensive care units, using open or closed endotracheal suctioning. Anesth Pain Med. 2014;4(5). e21649. doi: 10.5812/aapm.21649. [PubMed: 25729677]. [PubMed Central: PMC4333305].
  • 11. Paula LC, Ceccon ME. Randomized, comparative analysis between two tracheal suction systems in neonates. Rev Assoc Med Bras (1992). 2010;56(4):434-9. [PubMed: 20835640].
  • 12. Choong K, Chatrkaw P, Frndova H, Cox PN. Comparison of loss in lung volume with open versus in-line catheter endotracheal suctioning. Pediatr Crit Care Med. 2003;4(1):69-73. doi: 10.1097/01.PCC.0000043415.55312.62. [PubMed: 12656547].
  • 13. Avena MJ, de Carvalho WB, Beppu OS. [Evaluation of oxygenation, ventilation and respiratory mechanics before and after endotracheal suction in mechanically ventilated children]. Rev Assoc Med Bras (1992). 2003;49(2):156-61. Portuguese. [PubMed: 12886392].
  • 14. Caramez MP, Schettino G, Suchodolski K, Nishida T, Harris RS, Malhotra A, et al. The impact of endotracheal suctioning on gas exchange and hemodynamics during lung-protective ventilation in acute respiratory distress syndrome. Respir Care. 2006;51(5):497-502. [PubMed: 16638159]. [PubMed Central: PMC3818709].
  • 15. Lasocki S, Lu Q, Sartorius A, Fouillat D, Remerand F, Rouby JJ. Open and closed-circuit endotracheal suctioning in acute lung injury: Efficiency and effects on gas exchange. Anesthesiology. 2006;104(1):39-47. [PubMed: 16394688].
  • 16. Fernandez MD, Piacentini E, Blanch L, Fernandez R. Changes in lung volume with three systems of endotracheal suctioning with and without pre-oxygenation in patients with mild-to-moderate lung failure. Intensive Care Med. 2004;30(12):2210-5. doi: 10.1007/s00134-004-2458-3. [PubMed: 15480564].
  • 17. Abbasinia M, Irajpour A, Babaii A, Shamali M, Vahdatnezhad J. Comparison the effects of shallow and deep endotracheal tube suctioning on respiratory rate, arterial blood oxygen saturation and number of suctioning in patients hospitalized in the intensive care unit: A randomized controlled trial. J Caring Sci. 2014;3(3):157-64. doi: 10.5681/jcs.2014.017. [PubMed: 25276759]. [PubMed Central: PMC4171817].
  • 18. Johnson KL, Kearney PA, Johnson SB, Niblett JB, MacMillan NL, McClain RE. Closed versus open endotracheal suctioning: costs and physiologic consequences. Crit Care Med. 1994;22(4):658-66. [PubMed: 8143475].
  • 19. Clark AP, Winslow EH, Tyler DO, White KM. Effects of endotracheal suctioning on mixed venous oxygen saturation and heart rate in critically ill adults. Heart Lung. 1990;19(5 Pt 2):552-7. [PubMed: 2211166].
  • 20. Ozden D, Gorgulu RS. Effects of open and closed suction systems on the haemodynamic parameters in cardiac surgery patients. Nurs Crit Care. 2015;20(3):118-25. doi: 10.1111/nicc.12094. [PubMed: 24991700].
  • 21. Van de Leur JP, Zwaveling JH, Loef BG, Van der Schans CP. Endotracheal suctioning versus minimally invasive airway suctioning in intubated patients: A prospective randomised controlled trial. Intensive Care Med. 2003;29(3):426-32. doi: 10.1007/s00134-003-1639-9. [PubMed: 12577156].
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