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Case ReportCase Reports

Removal of Endotracheal Tube Obstruction With a Secretion Clearance Device

Cristina Mietto, Kevin Foley, Lindsay Salerno, Jenna Oleksak, Riccardo Pinciroli, Jeremy Goverman and Lorenzo Berra
Respiratory Care September 2014, 59 (9) e122-e126; DOI: https://doi.org/10.4187/respcare.02995
Cristina Mietto
Department of Anesthesia, Critical Care and Pain Medicine
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Kevin Foley
Department of Respiratory Care
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Lindsay Salerno
Department of Respiratory Care
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Jenna Oleksak
Department of Respiratory Care
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Riccardo Pinciroli
Department of Anesthesia, Critical Care and Pain Medicine
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Jeremy Goverman
Department of Surgery, Burn Service, Massachusetts General Hospital, Boston, Massachusetts.
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Lorenzo Berra
Department of Anesthesia, Critical Care and Pain Medicine
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    Fig. 1.

    The endOclear endotracheal tube-cleaning device. Courtesy Endoclear LLC.

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    Fig. 2.

    A: Tip of the endOclear device with dried secretions after endotracheal tube (ETT) cleaning (case 1). B: Tip of the endOclear device with a large mucus plug after ETT cleaning (case 2). C: An occluded ETT from a ICU burn patient (case not presented). Standard suctioning and emergency bronchoscopy did not maintain normal gas exchange and ventilation. The patient had to be re-intubated to resume oxygenation and ventilation.

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    Fig. 3.

    Pressure/flow curves on the ventilator before and after use of the endOclear. A: The patient is failing his spontaneous breathing trial. B: Note the early changes in the pressure/flow curves that were restored to normal baseline after endOclear use.

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Respiratory Care: 59 (9)
Respiratory Care
Vol. 59, Issue 9
1 Sep 2014
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Removal of Endotracheal Tube Obstruction With a Secretion Clearance Device
Cristina Mietto, Kevin Foley, Lindsay Salerno, Jenna Oleksak, Riccardo Pinciroli, Jeremy Goverman, Lorenzo Berra
Respiratory Care Sep 2014, 59 (9) e122-e126; DOI: 10.4187/respcare.02995

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Removal of Endotracheal Tube Obstruction With a Secretion Clearance Device
Cristina Mietto, Kevin Foley, Lindsay Salerno, Jenna Oleksak, Riccardo Pinciroli, Jeremy Goverman, Lorenzo Berra
Respiratory Care Sep 2014, 59 (9) e122-e126; DOI: 10.4187/respcare.02995
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Keywords

  • respiration
  • artificial
  • positive-pressure ventilation
  • respiratory failure
  • airway obstruction
  • airway resistance
  • pneumonia
  • ventilator-associated
  • biofilms

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