Demers RR. Complications of endotracheal suctioning procedures. Respir Care 1982;27:453-457. Sackner MA, Landa JF, Greeneltch N, Robinson MJ. Pathogenesis and prevention of tracheobronchial damage with suction procedures. Chest 1973;64:284-290.
www.rcjournal.com/cpgs/etscpg.html
Mar 3, 2009 Endotracheal Suctioning of the Adult Intubated Patient -- What Is the The suction procedure, notwithstanding the skills of the nurse,
www.medscape.com/viewarticle/588777
Open and Closed Endotracheal Suction Systems in Mechanically Ventilated Intensive Care Patients: A Meta-Analysis Lee ES, Kim SH, Kim JS: Effects of a closed endotracheal suction system on oxygen saturation, ventilator-associated pneumonia, and nursing efficacy. Taehan Kanho Hakhoe Chi 2004; 34:1315-1325...
www.medscape.com/viewarticle/552222
To determine the extent to which normal saline irrigation and suction catheter insertion dislodge viable bacteria from endotracheal tubes. The potential for infection caused by dislodging bacteria into the lower airway is additional evidence that routine use of saline during suctioning procedures should be abandoned.
ajcc.aacnjournals.org/cgi/content/abstract/3/6/444
BACKGROUND: Instillation of normal saline before endotracheal suctioning is thought to facilitate removal of secretions and ultimately to improve the patient's oxygenation status.
ajcc.aacnjournals.org/cgi/content/abstract/8/4/231
ENDOTRACHEAL SUCTIONING. a. The procedures for endotracheal (within the trachea) suctioning are similar to. those used for naso and oropharyngeal suctioning...
www.tpub.com/content/armymedical/md0917/md09170070.htm
Background: Endotracheal suction (ETS) is one of the most common procedures carried out in the intensive care units. ETS is used to clear the airway of secretions that accumulate around the end of the endotracheal tube (ETT).
www.cardinal.com/mps/focus/respiratory/abstracts/abstra... www.cardinal.com/mps/focus/respiratory/abstracts/abstracts/ab2004/OF-04-095%20Restrepo3.asp
While tracheal/endotracheal suctioning may be a necessary procedure, it can be associated with some potentially harmful effects. These may include:
www.oup.com/uk/orc/bin/9780199237838/ch07_skill7_6.pdf
Endotracheal Intubation and Suctioning Other Procedures Other aerosol treatments, cough inducing procedures or aerosol generating procedures should be administered in rooms with appropriate ventilation to prevent the transmission of TB.
www.med.yale.edu/ynhh/infection/tb/specifics.html
Endotracheal saline and suction catheters: sources of lower airway contamination. The potential for infection caused by dislodging bacteria into the lower airway is additional evidence that routine use of saline during suctioning procedures should be abandoned.
www.ncbi.nlm.nih.gov/pubmed/7834003