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  • Detection of Secretion Retention in the Ventilated Patient

    Author(s)
    Paratz, Jenny
    Ntoumenopoulos, George
    Griffith University Author(s)
    Paratz, Jenny D.
    Year published
    2014
    Metadata
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    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 ...
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    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.
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    Journal Title
    Current Respiratory Medicine Reviews
    Volume
    10
    Issue
    3
    DOI
    https://doi.org/10.2174/1573398X11666141229230526
    Subject
    Clinical Sciences not elsewhere classified
    Cardiorespiratory Medicine and Haematology
    Other Studies in Human Society
    Publication URI
    http://hdl.handle.net/10072/70102
    Collection
    • Journal articles

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