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Erschienen in:
01.04.2007 | Pediatric Brief Report
Effects of open endotracheal suction on lung volume in infants receiving HFOV
Erschienen in: Intensive Care Medicine | Ausgabe 4/2007
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Objective
To describe the pattern and magnitude of lung volume change during open endotracheal tube (ETT) suction in infants receiving high-frequency oscillatory ventilation (HFOV).
Design
Prospective observational clinical study.
Setting
Tertiary neonatal intensive care unit.
Patients and participants
Seven intubated and muscle-relaxed newborn infants receiving HFOV.
Interventions
Open ETT suction was performed for 6 s at −100 mmHg using a 6-F catheter passed to the ETT tip after disconnection from HFOV. The HFOV was then recommenced at the same settings as prior to ETT suction.
Measurements and results
Change in lung volume (ΔV
L) referenced to baseline lung volume before suction was measured with a calibrated respiratory inductive plethysmography recording from 30 s before until 60 s after ETT suction. In all infants ETT suction resulted in significant loss of lung volume. The mean ΔV
L during suctioning was −13 ml/kg (SD 4 ml/kg) (p < 0.0001 vs. baseline, repeated-measures ANOVA), with a mean 76.5% (SD 14.1%) of this volume loss being related to circuit disconnection. After recommencing HFOV lung volume was rapidly regained with mean ΔV
L at 60 s being 1 ml/kg (SD 4 ml/kg) below baseline (p > 0.05, Tukey post-test).
Conclusions
Open ETT suction caused a significant but transient loss of lung volume in muscle-relaxed newborn infants receiving HFOV.