Abstract
Intubation, mechanical ventilation and subsequent immobilization, sedation and drying of airways predisposes to retained secretions. This can lead to a number of complications including endotracheal tube occlusion, ventilator associated infection, hemodynamic compromise and life threatening hypoxemia.
Identification of retained secretions can be difficult with a poor specificity for many components of the examination. Ideally, it is important to have a high confidence in the methods of detecting airways secretions in order to be able to effectively manage them in order to prevent an emergent situation developing. The various components of examination including auscultation, oxygenation status, radiology, pulmonary mechanics and waveform analysis are discussed together with validity and repeatability information. Two of the most promising areas for accurate bedside localization of secretions are auscultation and waveform analysis.
Keywords: Atelectasis, intubation, endotracheal, mechanical ventilation, mucus inspissation of respiratory tract.
Current Respiratory Medicine Reviews
Title:Detection of Secretion Retention in the Ventilated Patient
Volume: 10 Issue: 3
Author(s): Jennifer Paratz and George Ntoumenopoulos
Affiliation:
Keywords: Atelectasis, intubation, endotracheal, mechanical ventilation, mucus inspissation of respiratory tract.
Abstract: Intubation, mechanical ventilation and subsequent immobilization, sedation and drying of airways predisposes to retained secretions. This can lead to a number of complications including endotracheal tube occlusion, ventilator associated infection, hemodynamic compromise and life threatening hypoxemia.
Identification of retained secretions can be difficult with a poor specificity for many components of the examination. Ideally, it is important to have a high confidence in the methods of detecting airways secretions in order to be able to effectively manage them in order to prevent an emergent situation developing. The various components of examination including auscultation, oxygenation status, radiology, pulmonary mechanics and waveform analysis are discussed together with validity and repeatability information. Two of the most promising areas for accurate bedside localization of secretions are auscultation and waveform analysis.
Export Options
About this article
Cite this article as:
Paratz Jennifer and Ntoumenopoulos George, Detection of Secretion Retention in the Ventilated Patient, Current Respiratory Medicine Reviews 2014; 10 (3) . https://dx.doi.org/10.2174/1573398X11666141229230526
DOI https://dx.doi.org/10.2174/1573398X11666141229230526 |
Print ISSN 1573-398X |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6387 |
Call for Papers in Thematic Issues
Exposure to PM2.5 components is associated with respiratory diseases
Through continuous research on the relationship between risk factors and health, it has been found that air pollution, especially atmospheric particulate matter pollution, has become one of the main sources of global disease burden. From 1990 to 2022, the concentration of atmospheric particulate matter pollution has increased by more than ...read more
- Author Guidelines
- Graphical Abstracts
- Fabricating and Stating False Information
- Research Misconduct
- Post Publication Discussions and Corrections
- Publishing Ethics and Rectitude
- Increase Visibility of Your Article
- Archiving Policies
- Peer Review Workflow
- Order Your Article Before Print
- Promote Your Article
- Manuscript Transfer Facility
- Editorial Policies
- Allegations from Whistleblowers
Related Articles
-
Mitochondrial Targeting for Development of Novel Drug Strategies in Brain Injury
Central Nervous System Agents in Medicinal Chemistry Cryptogenic Liver Diseases: Sailing by Sight from HIV Co-Infection with Hepatitis Viruses to HIV Mono-Infection Through the Pillars of Hercules
Current HIV Research Elasticity Imaging via MRI: Basics, Overcoming the Waveguide Limit, and Clinical Liver Results
Current Medical Imaging Nephrotoxicity Associated with Antiretroviral Therapy in HIV-Infected Patients
Current Drug Safety Clinical Implications of Non-Invasive Measurement of Central Aortic Blood Pressure
Current Vascular Pharmacology Subject Index to Volume 9
Current Pharmaceutical Design Cyclooxygenase and Atherosclerosis: A Smoking Area
Current Pharmaceutical Design Targeted Therapies in the Treatment of Advanced Renal Cell Carcinoma
Recent Patents on Anti-Cancer Drug Discovery A Giant Internal Iliac Artery Aneurysm with Arteriovenous Fistulization
Current Medical Imaging Patent Selections:
Recent Patents on Cardiovascular Drug Discovery Safety Aspects of Statins: Which Factors Create the Adverse Effects of Statins
Immunology, Endocrine & Metabolic Agents in Medicinal Chemistry (Discontinued) Cellular and Functional Effects of Insulin Based Therapies and Exercise on Endothelium
Current Pharmaceutical Design Acetaminophen (Paracetamol) and Injury in the Cardiovascular System
Vascular Disease Prevention (Discontinued) The Use of the Dahl Rat to Understand the Genetics of Human Hypertension: 35 Years of Data
Current Hypertension Reviews Heat Shock Protein-60 and Risk for Cardiovascular Disease
Current Pharmaceutical Design Implications of the Obesity Epidemic for Statin Therapy: Shifting Cholesterol Metabolism to a High Synthesis and Low Dietary Absorption State
Endocrine, Metabolic & Immune Disorders - Drug Targets Aldose Reductase / Polyol Inhibitors for Diabetic Retinopathy
Current Pharmaceutical Biotechnology Development of a Triggered Nocturnal Blood Pressure Monitoring which Detects Nighttime Blood Pressure Surges in Sleep Apnea Syndrome
Current Hypertension Reviews Reversing Agents for ATP-Binding Cassette (ABC) Transporters: Application in Modulating Multidrug Resistance (MDR)
Current Medicinal Chemistry - Anti-Cancer Agents Human Recombinant Leptin Administration as a Potential Obesity Therapy
Immunology, Endocrine & Metabolic Agents in Medicinal Chemistry (Discontinued)