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Purpose: The aim of this study was to determine the effective biomechanical technique for suctioning phlegm.
Methods: A novel tracheal suctioning simulator combined with a motion capture system was used to calculate the amount of simulated phlegm suctioned and the biomechanical parameters of the associated suctioning manoeuvre. A laboratory study, including 12 nurses with > 3 years of suctioning experience and 12 nursing students without any clinical suctioning experience, was conducted. The amount of phlegm suctioned, the maximum length of catheter insertion, and the biomechanical parameters of hand movement were calculated.
Results: The mean amount of phlegm suctioned per second was significantly larger in the experienced group than in the non-experienced group. The amount of phlegm suctioned correlated positively with the length of the vertical path of motion of the wrist and forearm, and with the angular velocity of thumb rotation in both the groups.
Conclusion: Greater vertical motion of the wrist and thumb rotation improved the effectiveness of phlegm suctioning and prevented the need for deep suctioning, which is unsafe.
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http://dx.doi.org/10.1007/s40846-020-00521-y | DOI Listing |
Int J Tuberc Lung Dis
October 2024
Department of Basic Mycobacteriosis, Graduate School of Biomedical Science, Nagasaki University, Nagasaki, Japan;, Department of Mycobacterium Reference and Research, Research Institute of Tuberculosis, JATA, Kiyose, Tokyo, Japan.
J Thorac Dis
February 2024
OrganTransplant Network, Tokyo, Japan.
Owing to the extremely short supply of donor lungs in Japan, a unique medical consultant (MC) system was initiated in 2002 to increase the organ availability through intensive management of donors. First, heart transplant surgeons were sent to procurement hospitals as MCs to assess donor organ function and provide intensive care to donors. MCs requested that donor attending doctors perform frequent phlegm aspiration with a bronchoscope, leading to a higher lung availability and better outcomes after lung transplantation.
View Article and Find Full Text PDFAm J Transl Res
September 2021
Department of Intensive Care Unit, The Second Affiliated Hospital of Soochow University Suzhou 215004, Jiangsu, China.
Objective: To investigate the nursing effect of deep or shallow sputum suction in the treatment of patients without cough response.
Methods: A total of 144 patients receiving mechanical ventilation without an effective cough reaction were randomly divided into two groups: deep suction group (n=73) and shallow suction group (n=71). Heart rate, breathing, blood pressure, analgesia and sedation score, residual sputum volume, frequency of suction, sputum volume, improvement of phlegm sound, airway bleeding and oxygen before and after intervention were observed.
SAGE Open Nurs
October 2020
Department of Clinical Engineering, Hiroshima International University, Hiroshima, Japan.
Background: To provide safe tracheal suctioning, the American Association of Respiratory Care guideline discusses the length of suctioning catheter, but the most effective tracheal suctioning catheter technique is still unknown.
Objective: The aim of this study is to compare the amount of simulated secretion produced by five different handlings of a catheter at two different viscosities and in two different models to discover the most effective suctioning maneuver in the various mucus conditions.
Design: In vitro experimental design.
J Med Biol Eng
April 2020
Department of Rehabilitation Science, Faculty of Health Sciences, Hokkaido University, N12-W5, Kita-ku, Sapporo, Hokkaido Japan.