Proximal suction tracheotomy tube reduces aspiration volume

Heather M S Coffman, Catherine J. Rees, Ann E F Sievers, Peter C Belafsky

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: Conventional cuffed tracheotomy tubes do not prevent aspiration of secretions. Aspiration of saliva may be decreased with the use of a subglottic suction port. Study Design: Prospective. Methods: Shiley Disposable Cuffed Tracheotomy (DCT) tubes sizes 4, 6, and 8 (Tyco Healthcare, Pleasanton, CA) were compared to Portex Blue Line Ultra Suctionaid (BLUS) tracheotomy tubes sizes 6, 7, and 8 (Fig 1; Smiths Medical, Watford, UK). All tubes were tested in a simulated tracheal model using 10 cc of human saliva with no suction, intermittent suction, and constant suction (15 minutes). Results: There was a significant decrease in aspirate between the larger Shiley and BLUS tubes with intermittent suction (mean 8.38 mL Shiley 6 vs 1.60 mL BLUS 7; 8.50 mL Shiley 8 vs 2.80 mL BLUS 8). There was a significant decrease in aspirate between all sizes of Shiley and BLUS tubes with continuous suction. For BLUS 7 and 8, there was a significant difference between intermittent suction (mean, 1.60 mL, 2.80 mL, respectively) and continuous suction (mean, 0.20 mL, 0.60 mL respectively). Shiley and BLUS without suction were equivalent. Conclusion: Subglottic suction tracheotomy tubes reduce the risk of aspiration beyond the cuff in a bench-top model.

Original languageEnglish (US)
Pages (from-to)441-445
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume138
Issue number4
DOIs
StatePublished - Apr 2008

Fingerprint

Tracheotomy
Suction
Saliva
Prospective Studies
Delivery of Health Care

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Proximal suction tracheotomy tube reduces aspiration volume. / Coffman, Heather M S; Rees, Catherine J.; Sievers, Ann E F; Belafsky, Peter C.

In: Otolaryngology - Head and Neck Surgery, Vol. 138, No. 4, 04.2008, p. 441-445.

Research output: Contribution to journalArticle

Coffman, Heather M S ; Rees, Catherine J. ; Sievers, Ann E F ; Belafsky, Peter C. / Proximal suction tracheotomy tube reduces aspiration volume. In: Otolaryngology - Head and Neck Surgery. 2008 ; Vol. 138, No. 4. pp. 441-445.
@article{c1b65ab4305c436f82bd12de632004bc,
title = "Proximal suction tracheotomy tube reduces aspiration volume",
abstract = "Objective: Conventional cuffed tracheotomy tubes do not prevent aspiration of secretions. Aspiration of saliva may be decreased with the use of a subglottic suction port. Study Design: Prospective. Methods: Shiley Disposable Cuffed Tracheotomy (DCT) tubes sizes 4, 6, and 8 (Tyco Healthcare, Pleasanton, CA) were compared to Portex Blue Line Ultra Suctionaid (BLUS) tracheotomy tubes sizes 6, 7, and 8 (Fig 1; Smiths Medical, Watford, UK). All tubes were tested in a simulated tracheal model using 10 cc of human saliva with no suction, intermittent suction, and constant suction (15 minutes). Results: There was a significant decrease in aspirate between the larger Shiley and BLUS tubes with intermittent suction (mean 8.38 mL Shiley 6 vs 1.60 mL BLUS 7; 8.50 mL Shiley 8 vs 2.80 mL BLUS 8). There was a significant decrease in aspirate between all sizes of Shiley and BLUS tubes with continuous suction. For BLUS 7 and 8, there was a significant difference between intermittent suction (mean, 1.60 mL, 2.80 mL, respectively) and continuous suction (mean, 0.20 mL, 0.60 mL respectively). Shiley and BLUS without suction were equivalent. Conclusion: Subglottic suction tracheotomy tubes reduce the risk of aspiration beyond the cuff in a bench-top model.",
author = "Coffman, {Heather M S} and Rees, {Catherine J.} and Sievers, {Ann E F} and Belafsky, {Peter C}",
year = "2008",
month = "4",
doi = "10.1016/j.otohns.2007.11.013",
language = "English (US)",
volume = "138",
pages = "441--445",
journal = "Otolaryngology - Head and Neck Surgery (United States)",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

T1 - Proximal suction tracheotomy tube reduces aspiration volume

AU - Coffman, Heather M S

AU - Rees, Catherine J.

AU - Sievers, Ann E F

AU - Belafsky, Peter C

PY - 2008/4

Y1 - 2008/4

N2 - Objective: Conventional cuffed tracheotomy tubes do not prevent aspiration of secretions. Aspiration of saliva may be decreased with the use of a subglottic suction port. Study Design: Prospective. Methods: Shiley Disposable Cuffed Tracheotomy (DCT) tubes sizes 4, 6, and 8 (Tyco Healthcare, Pleasanton, CA) were compared to Portex Blue Line Ultra Suctionaid (BLUS) tracheotomy tubes sizes 6, 7, and 8 (Fig 1; Smiths Medical, Watford, UK). All tubes were tested in a simulated tracheal model using 10 cc of human saliva with no suction, intermittent suction, and constant suction (15 minutes). Results: There was a significant decrease in aspirate between the larger Shiley and BLUS tubes with intermittent suction (mean 8.38 mL Shiley 6 vs 1.60 mL BLUS 7; 8.50 mL Shiley 8 vs 2.80 mL BLUS 8). There was a significant decrease in aspirate between all sizes of Shiley and BLUS tubes with continuous suction. For BLUS 7 and 8, there was a significant difference between intermittent suction (mean, 1.60 mL, 2.80 mL, respectively) and continuous suction (mean, 0.20 mL, 0.60 mL respectively). Shiley and BLUS without suction were equivalent. Conclusion: Subglottic suction tracheotomy tubes reduce the risk of aspiration beyond the cuff in a bench-top model.

AB - Objective: Conventional cuffed tracheotomy tubes do not prevent aspiration of secretions. Aspiration of saliva may be decreased with the use of a subglottic suction port. Study Design: Prospective. Methods: Shiley Disposable Cuffed Tracheotomy (DCT) tubes sizes 4, 6, and 8 (Tyco Healthcare, Pleasanton, CA) were compared to Portex Blue Line Ultra Suctionaid (BLUS) tracheotomy tubes sizes 6, 7, and 8 (Fig 1; Smiths Medical, Watford, UK). All tubes were tested in a simulated tracheal model using 10 cc of human saliva with no suction, intermittent suction, and constant suction (15 minutes). Results: There was a significant decrease in aspirate between the larger Shiley and BLUS tubes with intermittent suction (mean 8.38 mL Shiley 6 vs 1.60 mL BLUS 7; 8.50 mL Shiley 8 vs 2.80 mL BLUS 8). There was a significant decrease in aspirate between all sizes of Shiley and BLUS tubes with continuous suction. For BLUS 7 and 8, there was a significant difference between intermittent suction (mean, 1.60 mL, 2.80 mL, respectively) and continuous suction (mean, 0.20 mL, 0.60 mL respectively). Shiley and BLUS without suction were equivalent. Conclusion: Subglottic suction tracheotomy tubes reduce the risk of aspiration beyond the cuff in a bench-top model.

UR - http://www.scopus.com/inward/record.url?scp=40849142147&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=40849142147&partnerID=8YFLogxK

U2 - 10.1016/j.otohns.2007.11.013

DO - 10.1016/j.otohns.2007.11.013

M3 - Article

C2 - 18359351

AN - SCOPUS:40849142147

VL - 138

SP - 441

EP - 445

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

SN - 0194-5998

IS - 4

ER -