{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:48:17Z","timestamp":1753883297825,"version":"3.41.2"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["19H03877"],"award-info":[{"award-number":["19H03877"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Nursing"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> To provide safe tracheal suctioning, the American Association of Respiratory Care guideline discusses the length of suctioning catheter, but the most effective tracheal suctioning catheter technique is still unknown. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p> The aim of this study is to compare the amount of simulated secretion produced by five different handlings of a catheter at two different viscosities and in two different models to discover the most effective suctioning maneuver in the various mucus conditions. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p> In vitro experimental design. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> The amount of secretion aspirated by our researcher's manipulation of a suctioning catheter was measured. The tip of the catheter was recorded using a high-speed video camera to visualize the secretion motion. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> The most effective suctioning technique differed depending on the viscosity of the secretion. There were no significant differences between five suctioning methods applied to high-viscosity phlegm in a tracheal membrane model, but the flexion technique was the most efficient for low-viscosity secretion. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Our results imply that the flexion technique was reasonably safe and the most effective of these five methods for low-viscosity secretion. <\/jats:p><\/jats:sec>","DOI":"10.1177\/2377960820969385","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T04:52:15Z","timestamp":1603860735000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Relationship Between Tracheal Suctioning Catheter Motion and Secretion Amount Based on Viscosity"],"prefix":"10.1177","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4811-3499","authenticated-orcid":false,"given":"Noriyo","family":"Colley","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Hokkaido University, Sapporo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunsuke","family":"Komizunai","sequence":"additional","affiliation":[{"name":"Faculty of Information Science and Technology, Hokkaido University, Sapporo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Konno","sequence":"additional","affiliation":[{"name":"Faculty of Information Science and Technology, Hokkaido University, Sapporo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Kanai","sequence":"additional","affiliation":[{"name":"Faculty of Information Science and Technology, Hokkaido University, Sapporo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinji","family":"Ninomiya","sequence":"additional","affiliation":[{"name":"Department of Clinical Engineering, Hiroshima International University, Hiroshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,27]]},"reference":[{"key":"bibr1-2377960820969385","unstructured":"American Association for Respiratory Care. (2010). AARC clinical practice guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. 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L.","year":"1963","journal-title":"American Review of Respiratory Disease"},{"key":"bibr16-2377960820969385","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201603-196CME"},{"key":"bibr17-2377960820969385","doi-asserted-by":"publisher","DOI":"10.4286\/jjmi.84.414"},{"key":"bibr18-2377960820969385","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23936"},{"key":"bibr19-2377960820969385","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2019.08.002"},{"key":"bibr20-2377960820969385","doi-asserted-by":"publisher","DOI":"10.3109\/01460869109009042"},{"key":"bibr21-2377960820969385","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.24196"},{"key":"bibr22-2377960820969385","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201602-0276ST"},{"key":"bibr23-2377960820969385","unstructured":"Tamura M. (2017). A report of multi-professional collaboration for technology-dependent children. 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