Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation
Objective Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable...
Ausführliche Beschreibung
Autor*in: |
Reissmann, Hajo [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2005 |
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Anmerkung: |
© Springer-Verlag 2005 |
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Übergeordnetes Werk: |
Enthalten in: Intensive care medicine - Berlin : Springer, 1975, 31(2005), 3 vom: 03. Feb., Seite 431-440 |
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Übergeordnetes Werk: |
volume:31 ; year:2005 ; number:3 ; day:03 ; month:02 ; pages:431-440 |
Links: |
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DOI / URN: |
10.1007/s00134-004-2537-5 |
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Katalog-ID: |
SPR001188046 |
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245 | 1 | 0 | |a Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation |
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520 | |a Objective Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trachea via a double-lumen ETT should maintain $ P_{tr} $. Can this technique reduce the side effects? Design and setting Bench and animal studies in a university hospital laboratory. Interventions A lung model was ventilated via single and double-lumen ETTs. Closed-system suctioning was applied with catheters introduced into the single-lumen ETT or the expiratory lumen of the double-lumen ETT via swivel adapter. Seven anesthetized pigs (lungs lavaged) underwent three runs of ventilation and suctioning through (a, b) an 8.0-mm ID single-lumen ETT, (c) a double-lumen ETT (41Ch outer diameter, OD). In (a) the single-lumen ETT was disconnected for suctioning, in (b) and (c) ventilator mode was set to continuous positive airway pressure mode, and the ETTs remained connected. Measurements and results Bench: Suction through single-lumen ETTs impaired ventilation and led to strongly negative $ P_{tr} $ (common: −10 to −20 mbar); the double-lumen ETT technique maintained ventilation and pressures. Animals: Lung gas content (computed tomography, n=4) and arterial oxygen partial pressure, initially 1462±65 ml/532±76 mmHg, were significantly reduced by suctioning through single-lumen ETT: to 302±79 ml/62±6 mmHg with disconnection and to 851±211 ml/158±107 mmHg with closed suction. With double-lumen ETT they remained at 1377±95 ml/521±56 mmHg. Conclusions The double-lumen ETT technique minimizes side effects of suctioning by maintaining $ P_{tr} $. | ||
650 | 4 | |a Endotracheal suction |7 (dpeaa)DE-He213 | |
650 | 4 | |a Endotracheal intubation |7 (dpeaa)DE-He213 | |
650 | 4 | |a Atelectasis |7 (dpeaa)DE-He213 | |
650 | 4 | |a Acute lung injury |7 (dpeaa)DE-He213 | |
700 | 1 | |a Böhm, Stephan H. |4 aut | |
700 | 1 | |a Suárez-Sipmann, Fernando |4 aut | |
700 | 1 | |a Tusman, Gerardo |4 aut | |
700 | 1 | |a Buschmann, Claas |4 aut | |
700 | 1 | |a Maisch, Stefan |4 aut | |
700 | 1 | |a Pesch, Tanja |4 aut | |
700 | 1 | |a Thamm, Oliver |4 aut | |
700 | 1 | |a Plümers, Christoph |4 aut | |
700 | 1 | |a am Esch, Jochen Schulte |4 aut | |
700 | 1 | |a Hedenstierna, Göran |4 aut | |
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10.1007/s00134-004-2537-5 doi (DE-627)SPR001188046 (SPR)s00134-004-2537-5-e DE-627 ger DE-627 rakwb eng Reissmann, Hajo verfasserin aut Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation 2005 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2005 Objective Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trachea via a double-lumen ETT should maintain $ P_{tr} $. Can this technique reduce the side effects? Design and setting Bench and animal studies in a university hospital laboratory. Interventions A lung model was ventilated via single and double-lumen ETTs. Closed-system suctioning was applied with catheters introduced into the single-lumen ETT or the expiratory lumen of the double-lumen ETT via swivel adapter. Seven anesthetized pigs (lungs lavaged) underwent three runs of ventilation and suctioning through (a, b) an 8.0-mm ID single-lumen ETT, (c) a double-lumen ETT (41Ch outer diameter, OD). In (a) the single-lumen ETT was disconnected for suctioning, in (b) and (c) ventilator mode was set to continuous positive airway pressure mode, and the ETTs remained connected. Measurements and results Bench: Suction through single-lumen ETTs impaired ventilation and led to strongly negative $ P_{tr} $ (common: −10 to −20 mbar); the double-lumen ETT technique maintained ventilation and pressures. Animals: Lung gas content (computed tomography, n=4) and arterial oxygen partial pressure, initially 1462±65 ml/532±76 mmHg, were significantly reduced by suctioning through single-lumen ETT: to 302±79 ml/62±6 mmHg with disconnection and to 851±211 ml/158±107 mmHg with closed suction. With double-lumen ETT they remained at 1377±95 ml/521±56 mmHg. Conclusions The double-lumen ETT technique minimizes side effects of suctioning by maintaining $ P_{tr} $. Endotracheal suction (dpeaa)DE-He213 Endotracheal intubation (dpeaa)DE-He213 Atelectasis (dpeaa)DE-He213 Acute lung injury (dpeaa)DE-He213 Böhm, Stephan H. aut Suárez-Sipmann, Fernando aut Tusman, Gerardo aut Buschmann, Claas aut Maisch, Stefan aut Pesch, Tanja aut Thamm, Oliver aut Plümers, Christoph aut am Esch, Jochen Schulte aut Hedenstierna, Göran aut Enthalten in Intensive care medicine Berlin : Springer, 1975 31(2005), 3 vom: 03. Feb., Seite 431-440 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:31 year:2005 number:3 day:03 month:02 pages:431-440 https://dx.doi.org/10.1007/s00134-004-2537-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 31 2005 3 03 02 431-440 |
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10.1007/s00134-004-2537-5 doi (DE-627)SPR001188046 (SPR)s00134-004-2537-5-e DE-627 ger DE-627 rakwb eng Reissmann, Hajo verfasserin aut Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation 2005 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2005 Objective Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trachea via a double-lumen ETT should maintain $ P_{tr} $. Can this technique reduce the side effects? Design and setting Bench and animal studies in a university hospital laboratory. Interventions A lung model was ventilated via single and double-lumen ETTs. Closed-system suctioning was applied with catheters introduced into the single-lumen ETT or the expiratory lumen of the double-lumen ETT via swivel adapter. Seven anesthetized pigs (lungs lavaged) underwent three runs of ventilation and suctioning through (a, b) an 8.0-mm ID single-lumen ETT, (c) a double-lumen ETT (41Ch outer diameter, OD). In (a) the single-lumen ETT was disconnected for suctioning, in (b) and (c) ventilator mode was set to continuous positive airway pressure mode, and the ETTs remained connected. Measurements and results Bench: Suction through single-lumen ETTs impaired ventilation and led to strongly negative $ P_{tr} $ (common: −10 to −20 mbar); the double-lumen ETT technique maintained ventilation and pressures. Animals: Lung gas content (computed tomography, n=4) and arterial oxygen partial pressure, initially 1462±65 ml/532±76 mmHg, were significantly reduced by suctioning through single-lumen ETT: to 302±79 ml/62±6 mmHg with disconnection and to 851±211 ml/158±107 mmHg with closed suction. With double-lumen ETT they remained at 1377±95 ml/521±56 mmHg. Conclusions The double-lumen ETT technique minimizes side effects of suctioning by maintaining $ P_{tr} $. Endotracheal suction (dpeaa)DE-He213 Endotracheal intubation (dpeaa)DE-He213 Atelectasis (dpeaa)DE-He213 Acute lung injury (dpeaa)DE-He213 Böhm, Stephan H. aut Suárez-Sipmann, Fernando aut Tusman, Gerardo aut Buschmann, Claas aut Maisch, Stefan aut Pesch, Tanja aut Thamm, Oliver aut Plümers, Christoph aut am Esch, Jochen Schulte aut Hedenstierna, Göran aut Enthalten in Intensive care medicine Berlin : Springer, 1975 31(2005), 3 vom: 03. Feb., Seite 431-440 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:31 year:2005 number:3 day:03 month:02 pages:431-440 https://dx.doi.org/10.1007/s00134-004-2537-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 31 2005 3 03 02 431-440 |
allfields_unstemmed |
10.1007/s00134-004-2537-5 doi (DE-627)SPR001188046 (SPR)s00134-004-2537-5-e DE-627 ger DE-627 rakwb eng Reissmann, Hajo verfasserin aut Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation 2005 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2005 Objective Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trachea via a double-lumen ETT should maintain $ P_{tr} $. Can this technique reduce the side effects? Design and setting Bench and animal studies in a university hospital laboratory. Interventions A lung model was ventilated via single and double-lumen ETTs. Closed-system suctioning was applied with catheters introduced into the single-lumen ETT or the expiratory lumen of the double-lumen ETT via swivel adapter. Seven anesthetized pigs (lungs lavaged) underwent three runs of ventilation and suctioning through (a, b) an 8.0-mm ID single-lumen ETT, (c) a double-lumen ETT (41Ch outer diameter, OD). In (a) the single-lumen ETT was disconnected for suctioning, in (b) and (c) ventilator mode was set to continuous positive airway pressure mode, and the ETTs remained connected. Measurements and results Bench: Suction through single-lumen ETTs impaired ventilation and led to strongly negative $ P_{tr} $ (common: −10 to −20 mbar); the double-lumen ETT technique maintained ventilation and pressures. Animals: Lung gas content (computed tomography, n=4) and arterial oxygen partial pressure, initially 1462±65 ml/532±76 mmHg, were significantly reduced by suctioning through single-lumen ETT: to 302±79 ml/62±6 mmHg with disconnection and to 851±211 ml/158±107 mmHg with closed suction. With double-lumen ETT they remained at 1377±95 ml/521±56 mmHg. Conclusions The double-lumen ETT technique minimizes side effects of suctioning by maintaining $ P_{tr} $. Endotracheal suction (dpeaa)DE-He213 Endotracheal intubation (dpeaa)DE-He213 Atelectasis (dpeaa)DE-He213 Acute lung injury (dpeaa)DE-He213 Böhm, Stephan H. aut Suárez-Sipmann, Fernando aut Tusman, Gerardo aut Buschmann, Claas aut Maisch, Stefan aut Pesch, Tanja aut Thamm, Oliver aut Plümers, Christoph aut am Esch, Jochen Schulte aut Hedenstierna, Göran aut Enthalten in Intensive care medicine Berlin : Springer, 1975 31(2005), 3 vom: 03. Feb., Seite 431-440 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:31 year:2005 number:3 day:03 month:02 pages:431-440 https://dx.doi.org/10.1007/s00134-004-2537-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 31 2005 3 03 02 431-440 |
allfieldsGer |
10.1007/s00134-004-2537-5 doi (DE-627)SPR001188046 (SPR)s00134-004-2537-5-e DE-627 ger DE-627 rakwb eng Reissmann, Hajo verfasserin aut Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation 2005 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2005 Objective Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trachea via a double-lumen ETT should maintain $ P_{tr} $. Can this technique reduce the side effects? Design and setting Bench and animal studies in a university hospital laboratory. Interventions A lung model was ventilated via single and double-lumen ETTs. Closed-system suctioning was applied with catheters introduced into the single-lumen ETT or the expiratory lumen of the double-lumen ETT via swivel adapter. Seven anesthetized pigs (lungs lavaged) underwent three runs of ventilation and suctioning through (a, b) an 8.0-mm ID single-lumen ETT, (c) a double-lumen ETT (41Ch outer diameter, OD). In (a) the single-lumen ETT was disconnected for suctioning, in (b) and (c) ventilator mode was set to continuous positive airway pressure mode, and the ETTs remained connected. Measurements and results Bench: Suction through single-lumen ETTs impaired ventilation and led to strongly negative $ P_{tr} $ (common: −10 to −20 mbar); the double-lumen ETT technique maintained ventilation and pressures. Animals: Lung gas content (computed tomography, n=4) and arterial oxygen partial pressure, initially 1462±65 ml/532±76 mmHg, were significantly reduced by suctioning through single-lumen ETT: to 302±79 ml/62±6 mmHg with disconnection and to 851±211 ml/158±107 mmHg with closed suction. With double-lumen ETT they remained at 1377±95 ml/521±56 mmHg. Conclusions The double-lumen ETT technique minimizes side effects of suctioning by maintaining $ P_{tr} $. Endotracheal suction (dpeaa)DE-He213 Endotracheal intubation (dpeaa)DE-He213 Atelectasis (dpeaa)DE-He213 Acute lung injury (dpeaa)DE-He213 Böhm, Stephan H. aut Suárez-Sipmann, Fernando aut Tusman, Gerardo aut Buschmann, Claas aut Maisch, Stefan aut Pesch, Tanja aut Thamm, Oliver aut Plümers, Christoph aut am Esch, Jochen Schulte aut Hedenstierna, Göran aut Enthalten in Intensive care medicine Berlin : Springer, 1975 31(2005), 3 vom: 03. Feb., Seite 431-440 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:31 year:2005 number:3 day:03 month:02 pages:431-440 https://dx.doi.org/10.1007/s00134-004-2537-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 31 2005 3 03 02 431-440 |
allfieldsSound |
10.1007/s00134-004-2537-5 doi (DE-627)SPR001188046 (SPR)s00134-004-2537-5-e DE-627 ger DE-627 rakwb eng Reissmann, Hajo verfasserin aut Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation 2005 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2005 Objective Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trachea via a double-lumen ETT should maintain $ P_{tr} $. Can this technique reduce the side effects? Design and setting Bench and animal studies in a university hospital laboratory. Interventions A lung model was ventilated via single and double-lumen ETTs. Closed-system suctioning was applied with catheters introduced into the single-lumen ETT or the expiratory lumen of the double-lumen ETT via swivel adapter. Seven anesthetized pigs (lungs lavaged) underwent three runs of ventilation and suctioning through (a, b) an 8.0-mm ID single-lumen ETT, (c) a double-lumen ETT (41Ch outer diameter, OD). In (a) the single-lumen ETT was disconnected for suctioning, in (b) and (c) ventilator mode was set to continuous positive airway pressure mode, and the ETTs remained connected. Measurements and results Bench: Suction through single-lumen ETTs impaired ventilation and led to strongly negative $ P_{tr} $ (common: −10 to −20 mbar); the double-lumen ETT technique maintained ventilation and pressures. Animals: Lung gas content (computed tomography, n=4) and arterial oxygen partial pressure, initially 1462±65 ml/532±76 mmHg, were significantly reduced by suctioning through single-lumen ETT: to 302±79 ml/62±6 mmHg with disconnection and to 851±211 ml/158±107 mmHg with closed suction. With double-lumen ETT they remained at 1377±95 ml/521±56 mmHg. Conclusions The double-lumen ETT technique minimizes side effects of suctioning by maintaining $ P_{tr} $. Endotracheal suction (dpeaa)DE-He213 Endotracheal intubation (dpeaa)DE-He213 Atelectasis (dpeaa)DE-He213 Acute lung injury (dpeaa)DE-He213 Böhm, Stephan H. aut Suárez-Sipmann, Fernando aut Tusman, Gerardo aut Buschmann, Claas aut Maisch, Stefan aut Pesch, Tanja aut Thamm, Oliver aut Plümers, Christoph aut am Esch, Jochen Schulte aut Hedenstierna, Göran aut Enthalten in Intensive care medicine Berlin : Springer, 1975 31(2005), 3 vom: 03. Feb., Seite 431-440 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:31 year:2005 number:3 day:03 month:02 pages:431-440 https://dx.doi.org/10.1007/s00134-004-2537-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 31 2005 3 03 02 431-440 |
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English |
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Enthalten in Intensive care medicine 31(2005), 3 vom: 03. Feb., Seite 431-440 volume:31 year:2005 number:3 day:03 month:02 pages:431-440 |
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Enthalten in Intensive care medicine 31(2005), 3 vom: 03. Feb., Seite 431-440 volume:31 year:2005 number:3 day:03 month:02 pages:431-440 |
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Article |
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Endotracheal suction Endotracheal intubation Atelectasis Acute lung injury |
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Intensive care medicine |
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Reissmann, Hajo @@aut@@ Böhm, Stephan H. @@aut@@ Suárez-Sipmann, Fernando @@aut@@ Tusman, Gerardo @@aut@@ Buschmann, Claas @@aut@@ Maisch, Stefan @@aut@@ Pesch, Tanja @@aut@@ Thamm, Oliver @@aut@@ Plümers, Christoph @@aut@@ am Esch, Jochen Schulte @@aut@@ Hedenstierna, Göran @@aut@@ |
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2005-02-03T00:00:00Z |
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One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trachea via a double-lumen ETT should maintain $ P_{tr} $. Can this technique reduce the side effects? Design and setting Bench and animal studies in a university hospital laboratory. Interventions A lung model was ventilated via single and double-lumen ETTs. Closed-system suctioning was applied with catheters introduced into the single-lumen ETT or the expiratory lumen of the double-lumen ETT via swivel adapter. Seven anesthetized pigs (lungs lavaged) underwent three runs of ventilation and suctioning through (a, b) an 8.0-mm ID single-lumen ETT, (c) a double-lumen ETT (41Ch outer diameter, OD). In (a) the single-lumen ETT was disconnected for suctioning, in (b) and (c) ventilator mode was set to continuous positive airway pressure mode, and the ETTs remained connected. Measurements and results Bench: Suction through single-lumen ETTs impaired ventilation and led to strongly negative $ P_{tr} $ (common: −10 to −20 mbar); the double-lumen ETT technique maintained ventilation and pressures. Animals: Lung gas content (computed tomography, n=4) and arterial oxygen partial pressure, initially 1462±65 ml/532±76 mmHg, were significantly reduced by suctioning through single-lumen ETT: to 302±79 ml/62±6 mmHg with disconnection and to 851±211 ml/158±107 mmHg with closed suction. With double-lumen ETT they remained at 1377±95 ml/521±56 mmHg. 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Reissmann, Hajo |
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Reissmann, Hajo misc Endotracheal suction misc Endotracheal intubation misc Atelectasis misc Acute lung injury Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation |
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Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation Endotracheal suction (dpeaa)DE-He213 Endotracheal intubation (dpeaa)DE-He213 Atelectasis (dpeaa)DE-He213 Acute lung injury (dpeaa)DE-He213 |
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Reissmann, Hajo Böhm, Stephan H. Suárez-Sipmann, Fernando Tusman, Gerardo Buschmann, Claas Maisch, Stefan Pesch, Tanja Thamm, Oliver Plümers, Christoph am Esch, Jochen Schulte Hedenstierna, Göran |
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31 |
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Elektronische Aufsätze |
author-letter |
Reissmann, Hajo |
doi_str_mv |
10.1007/s00134-004-2537-5 |
title_sort |
suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation |
title_auth |
Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation |
abstract |
Objective Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trachea via a double-lumen ETT should maintain $ P_{tr} $. Can this technique reduce the side effects? Design and setting Bench and animal studies in a university hospital laboratory. Interventions A lung model was ventilated via single and double-lumen ETTs. Closed-system suctioning was applied with catheters introduced into the single-lumen ETT or the expiratory lumen of the double-lumen ETT via swivel adapter. Seven anesthetized pigs (lungs lavaged) underwent three runs of ventilation and suctioning through (a, b) an 8.0-mm ID single-lumen ETT, (c) a double-lumen ETT (41Ch outer diameter, OD). In (a) the single-lumen ETT was disconnected for suctioning, in (b) and (c) ventilator mode was set to continuous positive airway pressure mode, and the ETTs remained connected. Measurements and results Bench: Suction through single-lumen ETTs impaired ventilation and led to strongly negative $ P_{tr} $ (common: −10 to −20 mbar); the double-lumen ETT technique maintained ventilation and pressures. Animals: Lung gas content (computed tomography, n=4) and arterial oxygen partial pressure, initially 1462±65 ml/532±76 mmHg, were significantly reduced by suctioning through single-lumen ETT: to 302±79 ml/62±6 mmHg with disconnection and to 851±211 ml/158±107 mmHg with closed suction. With double-lumen ETT they remained at 1377±95 ml/521±56 mmHg. Conclusions The double-lumen ETT technique minimizes side effects of suctioning by maintaining $ P_{tr} $. © Springer-Verlag 2005 |
abstractGer |
Objective Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trachea via a double-lumen ETT should maintain $ P_{tr} $. Can this technique reduce the side effects? Design and setting Bench and animal studies in a university hospital laboratory. Interventions A lung model was ventilated via single and double-lumen ETTs. Closed-system suctioning was applied with catheters introduced into the single-lumen ETT or the expiratory lumen of the double-lumen ETT via swivel adapter. Seven anesthetized pigs (lungs lavaged) underwent three runs of ventilation and suctioning through (a, b) an 8.0-mm ID single-lumen ETT, (c) a double-lumen ETT (41Ch outer diameter, OD). In (a) the single-lumen ETT was disconnected for suctioning, in (b) and (c) ventilator mode was set to continuous positive airway pressure mode, and the ETTs remained connected. Measurements and results Bench: Suction through single-lumen ETTs impaired ventilation and led to strongly negative $ P_{tr} $ (common: −10 to −20 mbar); the double-lumen ETT technique maintained ventilation and pressures. Animals: Lung gas content (computed tomography, n=4) and arterial oxygen partial pressure, initially 1462±65 ml/532±76 mmHg, were significantly reduced by suctioning through single-lumen ETT: to 302±79 ml/62±6 mmHg with disconnection and to 851±211 ml/158±107 mmHg with closed suction. With double-lumen ETT they remained at 1377±95 ml/521±56 mmHg. Conclusions The double-lumen ETT technique minimizes side effects of suctioning by maintaining $ P_{tr} $. © Springer-Verlag 2005 |
abstract_unstemmed |
Objective Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal ($ P_{tr} $) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trachea via a double-lumen ETT should maintain $ P_{tr} $. Can this technique reduce the side effects? Design and setting Bench and animal studies in a university hospital laboratory. Interventions A lung model was ventilated via single and double-lumen ETTs. Closed-system suctioning was applied with catheters introduced into the single-lumen ETT or the expiratory lumen of the double-lumen ETT via swivel adapter. Seven anesthetized pigs (lungs lavaged) underwent three runs of ventilation and suctioning through (a, b) an 8.0-mm ID single-lumen ETT, (c) a double-lumen ETT (41Ch outer diameter, OD). In (a) the single-lumen ETT was disconnected for suctioning, in (b) and (c) ventilator mode was set to continuous positive airway pressure mode, and the ETTs remained connected. Measurements and results Bench: Suction through single-lumen ETTs impaired ventilation and led to strongly negative $ P_{tr} $ (common: −10 to −20 mbar); the double-lumen ETT technique maintained ventilation and pressures. Animals: Lung gas content (computed tomography, n=4) and arterial oxygen partial pressure, initially 1462±65 ml/532±76 mmHg, were significantly reduced by suctioning through single-lumen ETT: to 302±79 ml/62±6 mmHg with disconnection and to 851±211 ml/158±107 mmHg with closed suction. With double-lumen ETT they remained at 1377±95 ml/521±56 mmHg. Conclusions The double-lumen ETT technique minimizes side effects of suctioning by maintaining $ P_{tr} $. © Springer-Verlag 2005 |
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title_short |
Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation |
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https://dx.doi.org/10.1007/s00134-004-2537-5 |
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score |
7.4005537 |