Accumulation of secretions may suddenly occlude an endotracheal tube (ETT), requiring immediate medical attention. The endOclear catheter (Endoclear LLC, Petoskey, Michigan) is a novel device designed to clear mucus and debris from an ETT and restore luminal patency. We present 3 subsequent cases of life-threatening partial ETT occlusions recorded over a period of 6 months at Massachusetts General Hospital. After conventional methods (standard tracheal suctioning and bronchoscopy) failed, the endOclear was used, with successful restoration of the airways in all 3 cases. The respiratory conditions rapidly improved, and all 3 patients tolerated the ETT-cleaning maneuver. These results show that such a device is safe and easy to use during an emergency airway situation for efficient and rapid removal of secretions from obstructed ETTs by respiratory therapists.

Mietto, C., Salerno, K., Oleksak, L., Pinciroli, R., Goverman, J., Berra, L. (2013). Removal of Endotracheal Tube Debris Obstruction by a Clearing Secretion Device. RESPIRATORY CARE, 59(9), e122-e126 [10.4187/respcare.02995].

Removal of Endotracheal Tube Debris Obstruction by a Clearing Secretion Device

PINCIROLI, RICCARDO;BERRA, LORENZO
Ultimo
2013

Abstract

Accumulation of secretions may suddenly occlude an endotracheal tube (ETT), requiring immediate medical attention. The endOclear catheter (Endoclear LLC, Petoskey, Michigan) is a novel device designed to clear mucus and debris from an ETT and restore luminal patency. We present 3 subsequent cases of life-threatening partial ETT occlusions recorded over a period of 6 months at Massachusetts General Hospital. After conventional methods (standard tracheal suctioning and bronchoscopy) failed, the endOclear was used, with successful restoration of the airways in all 3 cases. The respiratory conditions rapidly improved, and all 3 patients tolerated the ETT-cleaning maneuver. These results show that such a device is safe and easy to use during an emergency airway situation for efficient and rapid removal of secretions from obstructed ETTs by respiratory therapists.
Articolo in rivista - Articolo scientifico
intubation; airway obstruction; biofilms; VAP (ventilator-associated penumonia)
English
e122
e126
2874
Mietto, C., Salerno, K., Oleksak, L., Pinciroli, R., Goverman, J., Berra, L. (2013). Removal of Endotracheal Tube Debris Obstruction by a Clearing Secretion Device. RESPIRATORY CARE, 59(9), e122-e126 [10.4187/respcare.02995].
Mietto, C; Salerno, K; Oleksak, L; Pinciroli, R; Goverman, J; Berra, L
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/146718
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