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

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Summary

Introduction

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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