Closed tracheal suction systems (CTSS) are currently being used to minimize complications associated with endotracheal suctioning. Advantages of CTSS include improved oxygenation, decreased clinical signs of hypoxemia, maintenance of positive end-expiratory pressure, infection control, convenience, cost, and reduced patient anxiety. Some concerns related to use of CTSS include autocontamination, decreased effectiveness, difficult to use, excess negative pressure, and airway trauma. Strategies for reducing these and other concerns are shared. Recommendations for nursing practice and nursing research are discussed
Respiratory Care in Adults| August 01 1990
Closed Tracheal Suction Systems: Effectiveness and Nursing Implications
Mary Lou Noll, RN, PhD, CCRN;
From the University of Texas Health Science Center, School of Nursing at San Antonio, San Antonio, Texas, and Texas Woman’s University, Dallas, Texas.
Reprint requests to Mary Lou Noll, RN, PhD, CCRN, 6203 Pow Wow, San Antonio, TX 78238.
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Carolyn D. Hix, RN, MSN, CCRN;
AACN Adv Crit Care (1990) 1 (2): 318-326.
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Mary Lou Noll, Carolyn D. Hix, Gwenn Scott; Closed Tracheal Suction Systems: Effectiveness and Nursing Implications. AACN Adv Crit Care 1 August 1990; 1 (2): 318–326. doi: https://doi.org/10.4037/15597768-1990-2010
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