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A Controlled Study

Ehud Zmora, MD; T. Allen Merritt, MD

Am J Dis Child. 1980;134(3):250-254.

Abstract
• An alternate tracheal aspiration procedure using a side-hole endotracheal adapter was used in conjunction with transcutaneous oxygen (T_cPO₂) monitoring in 13 mechanically ventilated newborn infants. Decline in T_cPO₂ during suctioning and drop in neonatal heart rate were both substantially reduced using a procedure designed to preserve mean airway pressure. When compared with the routine procedure of disconnecting the endotracheal tube from the ventilator and suctioning via an end-hold adapter, this approach prevented precipitous and dangerous hypoxemia.

(Am J Dis Child 134:250-254, 1980)

Author Affiliations
From the Department of Pediatrics, Division of Neonatology, University of Rochester School of Medicine and Dentistry, Rochester, NY.

Footnotes
Reprint requests to Department of Pediatrics, University of Rochester, Strong Memorial Hospital, 601 Elmwood Ave, Rochester, NY 14642 (Dr Merritt).

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