Setting safe and effective suction pressure: the effect of using a manometer in the suction circuit
To establish the levels of pressure used to perform tracheal suction (TS) and if they are affected by having a manometer visible in the suction circuit. A bench test evaluation of simulated tracheal suction. Physiotherapy department of a major teaching hospital in Melbourne, Australia. Sixty-four nu...
Gespeichert in:
| Veröffentlicht in: | Intensive care medicine 2000-01, Vol.26 (1), p.15-19 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 19 |
|---|---|
| container_issue | 1 |
| container_start_page | 15 |
| container_title | Intensive care medicine |
| container_volume | 26 |
| creator | DONALD, K. J ROBERTSON, V. J TSEBELIS, K |
| description | To establish the levels of pressure used to perform tracheal suction (TS) and if they are affected by having a manometer visible in the suction circuit.
A bench test evaluation of simulated tracheal suction.
Physiotherapy department of a major teaching hospital in Melbourne, Australia.
Sixty-four nurses and physiotherapists who regularly apply TS to patients in the intensive care units of this hospital.
All subjects used both circuit A (without a visible manometer) and B (with a visible manometer) in a predetermined random order. For both, subjects adjusted the suction control tap to where they said a safe and effective pressure (set pressure) was delivered and then occluded the suction catheter as though suctioning (applied pressure). Subjects then completed a questionnaire on their current TS practise.
All set pressures (mean = 228.57 mmHg) and all applied pressures (mean = 359. 52 mmHg) were significantly higher (P |
| doi_str_mv | 10.1007/s001340050006 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70890650</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2629188321</sourcerecordid><originalsourceid>FETCH-LOGICAL-c345t-7e4f7205b9805d680f92c80f64b5c16862cdbee1aa6542010d444b1d2cb1f9723</originalsourceid><addsrcrecordid>eNpd0EtLxDAQB_Agirs-jl4liHirTp5tvcniCxY8qOeSphPtsm3XJBX89nbdio_LzGF-Mwx_Qo4YnDOA9CIAMCEBFADoLTJlUvCEcZFtkykIyROpJZ-QvRAWg0y1YrtkwkBrwVM1JfYRY6zbFxqMQ2raiqJzaGP9jjT0Q-9auvIYQu_xksZXHOe0c7QP60VDG9N2DUb0tG6_yPeirb3t63hAdpxZBjwc-z55vrl-mt0l84fb-9nVPLFCqpikKF3KQZV5BqrSGbic26FqWSrLdKa5rUpEZoxWkgODSkpZsorbkrk85WKfnG3urnz31mOIRVMHi8ulabHrQ5FCloNWMMCTf3DR9b4dfivynGcpywQbULJB1ncheHTFyteN8R8Fg2IdffEn-sEfj0f7ssHql95kPYDTEZhgzdJ509o6_Diuc51J8QlBkooO</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>992871831</pqid></control><display><type>article</type><title>Setting safe and effective suction pressure: the effect of using a manometer in the suction circuit</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>DONALD, K. J ; ROBERTSON, V. J ; TSEBELIS, K</creator><creatorcontrib>DONALD, K. J ; ROBERTSON, V. J ; TSEBELIS, K</creatorcontrib><description>To establish the levels of pressure used to perform tracheal suction (TS) and if they are affected by having a manometer visible in the suction circuit.
A bench test evaluation of simulated tracheal suction.
Physiotherapy department of a major teaching hospital in Melbourne, Australia.
Sixty-four nurses and physiotherapists who regularly apply TS to patients in the intensive care units of this hospital.
All subjects used both circuit A (without a visible manometer) and B (with a visible manometer) in a predetermined random order. For both, subjects adjusted the suction control tap to where they said a safe and effective pressure (set pressure) was delivered and then occluded the suction catheter as though suctioning (applied pressure). Subjects then completed a questionnaire on their current TS practise.
All set pressures (mean = 228.57 mmHg) and all applied pressures (mean = 359. 52 mmHg) were significantly higher (P <.001) when compared to the expected pressures (mean = 135 mmHg). Pressures set without a visible manometer (circuit A) were significantly higher (P <.05) than those using a visible manometer (circuit B) but the applied pressures were not significantly different (P =.166). Neither the investigator (P =.618) or the test order (P =.167) had a significant effect on the outcome. Questionnaire results showed 31 % of subjects considered 100-170 mmHg a safe and effective suction pressure whilst none reported using an objective means of measuring pressure.
All pressures in both circuits were significantly higher than those recommended as safe in the literature. In addition, pressures were unaffected by the inclusion of a visible manometer in the suction circuit.</description><identifier>ISSN: 0342-4642</identifier><identifier>EISSN: 1432-1238</identifier><identifier>DOI: 10.1007/s001340050006</identifier><identifier>PMID: 10663275</identifier><identifier>CODEN: ICMED9</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Attitude of Health Personnel ; Australia ; Biological and medical sciences ; Catheters ; Circuits ; Data collection ; Emergency and intensive respiratory care ; Female ; Humans ; Hypoxia ; Intensive care ; Intensive care medicine ; Male ; Manometry ; Medical sciences ; Middle Aged ; Mortality ; Patients ; Physical therapy ; Pressure ; Questionnaires ; Suction - methods ; Suctioning ; Surveys and Questionnaires ; Teaching hospitals ; Trachea</subject><ispartof>Intensive care medicine, 2000-01, Vol.26 (1), p.15-19</ispartof><rights>2000 INIST-CNRS</rights><rights>Springer-Verlag Berlin Heidelberg 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-7e4f7205b9805d680f92c80f64b5c16862cdbee1aa6542010d444b1d2cb1f9723</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1269684$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10663275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DONALD, K. J</creatorcontrib><creatorcontrib>ROBERTSON, V. J</creatorcontrib><creatorcontrib>TSEBELIS, K</creatorcontrib><title>Setting safe and effective suction pressure: the effect of using a manometer in the suction circuit</title><title>Intensive care medicine</title><addtitle>Intensive Care Med</addtitle><description>To establish the levels of pressure used to perform tracheal suction (TS) and if they are affected by having a manometer visible in the suction circuit.
A bench test evaluation of simulated tracheal suction.
Physiotherapy department of a major teaching hospital in Melbourne, Australia.
Sixty-four nurses and physiotherapists who regularly apply TS to patients in the intensive care units of this hospital.
All subjects used both circuit A (without a visible manometer) and B (with a visible manometer) in a predetermined random order. For both, subjects adjusted the suction control tap to where they said a safe and effective pressure (set pressure) was delivered and then occluded the suction catheter as though suctioning (applied pressure). Subjects then completed a questionnaire on their current TS practise.
All set pressures (mean = 228.57 mmHg) and all applied pressures (mean = 359. 52 mmHg) were significantly higher (P <.001) when compared to the expected pressures (mean = 135 mmHg). Pressures set without a visible manometer (circuit A) were significantly higher (P <.05) than those using a visible manometer (circuit B) but the applied pressures were not significantly different (P =.166). Neither the investigator (P =.618) or the test order (P =.167) had a significant effect on the outcome. Questionnaire results showed 31 % of subjects considered 100-170 mmHg a safe and effective suction pressure whilst none reported using an objective means of measuring pressure.
All pressures in both circuits were significantly higher than those recommended as safe in the literature. In addition, pressures were unaffected by the inclusion of a visible manometer in the suction circuit.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Attitude of Health Personnel</subject><subject>Australia</subject><subject>Biological and medical sciences</subject><subject>Catheters</subject><subject>Circuits</subject><subject>Data collection</subject><subject>Emergency and intensive respiratory care</subject><subject>Female</subject><subject>Humans</subject><subject>Hypoxia</subject><subject>Intensive care</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Manometry</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Patients</subject><subject>Physical therapy</subject><subject>Pressure</subject><subject>Questionnaires</subject><subject>Suction - methods</subject><subject>Suctioning</subject><subject>Surveys and Questionnaires</subject><subject>Teaching hospitals</subject><subject>Trachea</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpd0EtLxDAQB_Agirs-jl4liHirTp5tvcniCxY8qOeSphPtsm3XJBX89nbdio_LzGF-Mwx_Qo4YnDOA9CIAMCEBFADoLTJlUvCEcZFtkykIyROpJZ-QvRAWg0y1YrtkwkBrwVM1JfYRY6zbFxqMQ2raiqJzaGP9jjT0Q-9auvIYQu_xksZXHOe0c7QP60VDG9N2DUb0tG6_yPeirb3t63hAdpxZBjwc-z55vrl-mt0l84fb-9nVPLFCqpikKF3KQZV5BqrSGbic26FqWSrLdKa5rUpEZoxWkgODSkpZsorbkrk85WKfnG3urnz31mOIRVMHi8ulabHrQ5FCloNWMMCTf3DR9b4dfivynGcpywQbULJB1ncheHTFyteN8R8Fg2IdffEn-sEfj0f7ssHql95kPYDTEZhgzdJ509o6_Diuc51J8QlBkooO</recordid><startdate>20000101</startdate><enddate>20000101</enddate><creator>DONALD, K. J</creator><creator>ROBERTSON, V. J</creator><creator>TSEBELIS, K</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20000101</creationdate><title>Setting safe and effective suction pressure: the effect of using a manometer in the suction circuit</title><author>DONALD, K. J ; ROBERTSON, V. J ; TSEBELIS, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-7e4f7205b9805d680f92c80f64b5c16862cdbee1aa6542010d444b1d2cb1f9723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Attitude of Health Personnel</topic><topic>Australia</topic><topic>Biological and medical sciences</topic><topic>Catheters</topic><topic>Circuits</topic><topic>Data collection</topic><topic>Emergency and intensive respiratory care</topic><topic>Female</topic><topic>Humans</topic><topic>Hypoxia</topic><topic>Intensive care</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Manometry</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Patients</topic><topic>Physical therapy</topic><topic>Pressure</topic><topic>Questionnaires</topic><topic>Suction - methods</topic><topic>Suctioning</topic><topic>Surveys and Questionnaires</topic><topic>Teaching hospitals</topic><topic>Trachea</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DONALD, K. J</creatorcontrib><creatorcontrib>ROBERTSON, V. J</creatorcontrib><creatorcontrib>TSEBELIS, K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DONALD, K. J</au><au>ROBERTSON, V. J</au><au>TSEBELIS, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Setting safe and effective suction pressure: the effect of using a manometer in the suction circuit</atitle><jtitle>Intensive care medicine</jtitle><addtitle>Intensive Care Med</addtitle><date>2000-01-01</date><risdate>2000</risdate><volume>26</volume><issue>1</issue><spage>15</spage><epage>19</epage><pages>15-19</pages><issn>0342-4642</issn><eissn>1432-1238</eissn><coden>ICMED9</coden><abstract>To establish the levels of pressure used to perform tracheal suction (TS) and if they are affected by having a manometer visible in the suction circuit.
A bench test evaluation of simulated tracheal suction.
Physiotherapy department of a major teaching hospital in Melbourne, Australia.
Sixty-four nurses and physiotherapists who regularly apply TS to patients in the intensive care units of this hospital.
All subjects used both circuit A (without a visible manometer) and B (with a visible manometer) in a predetermined random order. For both, subjects adjusted the suction control tap to where they said a safe and effective pressure (set pressure) was delivered and then occluded the suction catheter as though suctioning (applied pressure). Subjects then completed a questionnaire on their current TS practise.
All set pressures (mean = 228.57 mmHg) and all applied pressures (mean = 359. 52 mmHg) were significantly higher (P <.001) when compared to the expected pressures (mean = 135 mmHg). Pressures set without a visible manometer (circuit A) were significantly higher (P <.05) than those using a visible manometer (circuit B) but the applied pressures were not significantly different (P =.166). Neither the investigator (P =.618) or the test order (P =.167) had a significant effect on the outcome. Questionnaire results showed 31 % of subjects considered 100-170 mmHg a safe and effective suction pressure whilst none reported using an objective means of measuring pressure.
All pressures in both circuits were significantly higher than those recommended as safe in the literature. In addition, pressures were unaffected by the inclusion of a visible manometer in the suction circuit.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>10663275</pmid><doi>10.1007/s001340050006</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0342-4642 |
| ispartof | Intensive care medicine, 2000-01, Vol.26 (1), p.15-19 |
| issn | 0342-4642 1432-1238 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70890650 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Attitude of Health Personnel Australia Biological and medical sciences Catheters Circuits Data collection Emergency and intensive respiratory care Female Humans Hypoxia Intensive care Intensive care medicine Male Manometry Medical sciences Middle Aged Mortality Patients Physical therapy Pressure Questionnaires Suction - methods Suctioning Surveys and Questionnaires Teaching hospitals Trachea |
| title | Setting safe and effective suction pressure: the effect of using a manometer in the suction circuit |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T05%3A02%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Setting%20safe%20and%20effective%20suction%20pressure:%20the%20effect%20of%20using%20a%20manometer%20in%20the%20suction%20circuit&rft.jtitle=Intensive%20care%20medicine&rft.au=DONALD,%20K.%20J&rft.date=2000-01-01&rft.volume=26&rft.issue=1&rft.spage=15&rft.epage=19&rft.pages=15-19&rft.issn=0342-4642&rft.eissn=1432-1238&rft.coden=ICMED9&rft_id=info:doi/10.1007/s001340050006&rft_dat=%3Cproquest_cross%3E2629188321%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=992871831&rft_id=info:pmid/10663275&rfr_iscdi=true |