{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:16:21Z","timestamp":1791432981337,"version":"4.3.3"},"reference-count":17,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Nasotracheal suctioning (NTS) is accomplished by inserting a suction catheter into the trachea through the nasopharynx. It is a useful procedure in critically ill patients whose ability to cough and mobilize secretions is impaired. \u0399t was assumed that using a suction catheter with an angular tip would facilitate entry into the trachea. The primary outcome was the success rate and the ease of insertion by using a curved edge catheter (Tiemann type) compared with a conventional suction catheter. The secondary outcome was the monitoring of subject's vital signs during the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Non-intubated subjects hospitalized in 2 adult ICUs underwent 2 consecutive NTSs each, using either a 14 French curved edge catheter or a 14 French conventional suction catheter, randomly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Twenty subjects with a mean age of 75.5 y were enrolled for a time period of 5 months. The tracheal access success rate was 19\/52 (successful\/unsuccessful attempts) using a curved edge catheter (36.5%, 95% CI 23.6\u201351.0%) compared with 12\/130 (9.2%, 95% CI 4.8\u201315.5%) using a conventional suction catheter. The insertion was 5.6 times more likely to be achieved by using a curved edge catheter (odds ratio 5.66, 95% CI 2.49\u201312.84,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). The number of attempts required to succeed in the insertion was significantly lower when using a curved edge catheter than when using a conventional suction catheter (for nasopharynx, median [range] of 1 [1] versus 2.5 [8],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001; for trachea, median [range] of 2 [9] versus 9 [9],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .002). The time required for successful insertion into the nasopharynx and trachea was significantly shorter when using a curved edge catheter than when using a conventional suction catheter (for nasopharynx, median [range] of 3 [11] s versus 5.3 [18] s,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .038; for trachea, median [range] of 6 [27] s versus 20 [25] s,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .002). The traumatic rate (percentage of catheters with blood present on the tip) was exactly the same for both catheters (30%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>It is more likely that tracheal access will be achieved using a curved edge catheter. A shorter process time and fewer attempts are required for successful NTS using a curved edge catheter, and it seems to be an equally safe procedure. (ClinicalTrials.gov registration NCT02261428.)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.03875","type":"journal-article","created":{"date-parts":[[2015,10,20]],"date-time":"2015-10-20T22:47:23Z","timestamp":1445381243000},"page":"1826-1833","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of the Feasibility and Safety of Nasotracheal Suctioning With Curved Edge Catheter Versus Conventional Suction Catheter in Critically Ill Subjects: A Prospective Randomized Crossover Trial"],"prefix":"10.1177","volume":"60","author":[{"given":"Konstantinos \u0395","family":"Grigoriadis","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Attikon University Hospital, Athens, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios C","family":"Angouras","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aikaterini","family":"Flevari","sequence":"additional","affiliation":[{"name":"Second Department of Critical Care Medicine, University of Athens, Faculty of Medicine, Attikon University Hospital, Athens, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodoros","family":"Xathos","sequence":"additional","affiliation":[{"name":"University of Athens, Faculty of Medicine, Athens, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"S987","article-title":"Clinical outcomes of failed extubation in a postoperative intensive care unit","volume":"85","author":"Toomtong P","year":"2002","unstructured":"Toomtong P, , Raksakietisak M, , Vorakitpokatorn P. Clinical outcomes of failed extubation in a postoperative intensive care unit. J Med Assoc Thai, 2002; 85(Suppl 3):S987\u2013S992.","journal-title":"J Med Assoc Thai"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.105.1.237"},{"key":"e_1_3_2_4_2","unstructured":"Hess D MacIntyre NR Mishoe SC Galvin WF Adams AB. Respiratory care: principles and practice. 2nd edition. Burlington Massachusetts: Jones & Bartlett Learning; 2011:366."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-008-1026-7"},{"key":"e_1_3_2_6_2","unstructured":"Orebaugh SL Bigeleisen PE. Atlas of airway management: techniques and tools. 1st edition. 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J Can Dent Assoc, 2007; 73(1):77\u201383.","journal-title":"J Can Dent Assoc"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.7748\/ns2003.11.18.9.47.c3504"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04491080"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1783"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.03875","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.03875","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.03875","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:14:11Z","timestamp":1777616051000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.03875"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":17,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.4187\/respcare.03875"],"URL":"https:\/\/doi.org\/10.4187\/respcare.03875","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2015,12]]}}}