Closed and open suctioning in acute respiratory failure of patients with airway.docVIP

 PAGE \* MERGEFORMAT 11 Closed and open suctioning in acute respiratory failure of patients with airway [Abstract] Objective To investigate the suction method in patients with acute respiratory failure respiratory system compliance, airway pressure. Methods 24 patients with acute respiratory failure in patients treated with concurrent mechanical ventilation were randomly divided into A, B groups, A group the closed suction, B group open suction. suctioning the two groups were observed and recorded before and after the 2 min tidal volume suction (Vt), peak airway pressure (Ppeak), airway plateau pressure (Pplat), Respiratory PEEP (PeeP). and in accordance with the formula Cst = Vt / Pplat PeeP calculated respiratory system compliance of patients (Cst). The results were in patients before and after closed suction Cst, Ppeak, Pplat no obvious change (all Pgt; 0.05). using open-suction before and after the patients Cst, Ppeak no obvious change (Pgt; 0.05), but Pplat significantly increased (P lt;0.05). closed suction group fears rate and sputum suction spray The incidence was significantly higher than the open suction group (P lt;0.01 or 0.05). Conclusions on the suction method in mechanically ventilated patients with acute respiratory failure had no effect on the respiratory system compliance; closed suction to help maintain a good airway pressure, can be used as acute respiratory failure in patients with mechanical ventilation when endotracheal suctioning the preferred method. [Keywords:] respiratory failure; mechanical ventilation; endotracheal suctioning; lung compliance For patients with mechanical ventilation, suction is an effective artificial airway to maintain the key measures. Open to disconnect the ventilator suction connection, unable to maintain effective ventilation and oxygenation, increasing the chance of cross infection. In recent years mechanical ventilation were treated with closed suction, suction increase efficiency and reduce the suct