Abstract
Bacterial Contamination from Intraoperative Endotracheal Suctioning in Songklanagarind Hospital
Highlights
Because of the limitation of the secretion clearance in mechanically ventilated patients, the regular endotracheal suctioning is needed and it’s a common procedure during intraoperative period for maintaining bronchial hygiene and prevention of secretion obstruction
The clean group had positive bacterial growth of 64.2% and the sterile group had 57%
Aseptic technique is essential in order to prevent upper and lower respiratory tract infection corresponded to The American Association of Respiratory Care [1] suggestion related to the endotracheal suctioning
Summary
Because of the limitation of the secretion clearance in mechanically ventilated patients, the regular endotracheal suctioning is needed and it’s a common procedure during intraoperative period for maintaining bronchial hygiene and prevention of secretion obstruction. The previous studies of intraoperative endotracheal suctioning has been investigated for the evidence of ventilator-associated pneumonia (VAP) only by comparing the opened suction and closed suction system [2]. For the multi-used closed suction system, the patient and the ventilator circuit need not to be disconnected to each other, the potential for dispersal of micro-organisms reduces. Many studies reported that the type of the tracheal suction; opened versus closed, had no effect on development of VAP [4,5,6]. In Songklanagarind hospital, the sterile technique for endotracheal suctioning is used routinely in all areas except in the operating theater
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