{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:49:52Z","timestamp":1775472592878,"version":"3.50.1"},"reference-count":14,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T00:00:00Z","timestamp":1674172800000},"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":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Endotracheal tube (ETT) scraping or sweeping refers to mucus removal from an ETT that can increase airway resistance. The study objective was to evaluate the effect of ETT scraping on the duration of mechanical ventilation, time to first successful spontaneous breathing trial (SBT), duration of hospital stay, and occurrence of ventilator-associated events (VAEs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This was a single-center, randomized clinical trial of adult subjects intubated between October 2019\u2013October 2021. Subjects were randomly assigned to either ETT suctioning via a standard in-line suction catheter (control group) or ETT suctioning and scraping via a suction catheter with balloon-sweeping technology (experimental group). Airway suctioning was performed as clinically indicated, and the ETT was scraped every time a respiratory therapist suctioned the subject. The study outcome was duration of mechanical ventilation, time to first successful SBT, hospital length of stay, and VAE rate. Intent-to-treat statistical analysis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Of 272 randomized subjects, the median age was 63 (interquartile range [IQR] 52\u201373) y; 143 (53%) were males, and 154 (57%) had a primary diagnosis of acute respiratory failure. There were no significant differences between the groups in median duration (h) of mechanical ventilation (72 [37\u2013187] vs 70.6 [37\u2013148],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .58). There was no significant difference between the study groups in median time (h) to the first successful SBT (46.7 [IQR 30\u201387] vs 45.7 [IQR 27\u201395],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .81), length of hospital stay (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .76), the incidences of ventilator-associated conditions (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .13), or infection-related ventilator-associated complications (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .47).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>ETT suctioning plus scraping, compared to ETT suctioning alone, did not significantly improve the duration of mechanical ventilation, time to first successful SBT, length of hospital stay, and VAEs. These study findings do not support the routine use of ETT scraping for mechanically ventilated patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.10830","type":"journal-article","created":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T13:40:12Z","timestamp":1674222012000},"page":"1023-1030","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of a Closed Suction System With Integrated Tube-Scraping Technology"],"prefix":"10.1177","volume":"68","author":[{"given":"Ramandeep","family":"Kaur","sequence":"first","affiliation":[{"name":"Department of Cardiopulmonary Sciences, Division of Respiratory Care, College of Health Sciences, Rush University, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J Brady","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Cardiopulmonary Sciences, Division of Respiratory Care, College of Health Sciences, Rush University, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler T","family":"Weiss","sequence":"additional","affiliation":[{"name":"Department of Cardiopulmonary Sciences, Division of Respiratory Care, College of Health Sciences, Rush University, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Cardiopulmonary Sciences, Division of Respiratory Care, College of Health Sciences, Rush University, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan E","family":"Charlton","sequence":"additional","affiliation":[{"name":"Department of Cardiopulmonary Sciences, Division of Respiratory Care, College of Health Sciences, Rush University, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly A","family":"Villanueva","sequence":"additional","affiliation":[{"name":"Department of Cardiopulmonary Sciences, Division of Respiratory Care, College of Health Sciences, Rush University, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A","family":"Balk","sequence":"additional","affiliation":[{"name":"Internal Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Rush University, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David L","family":"Vines","sequence":"additional","affiliation":[{"name":"Department of Cardiopulmonary Sciences, Division of Respiratory Care, College of Health Sciences, Rush University, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,1,20]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.07107"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04363"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.09548"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05391"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02995"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc1999.8.2.93"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01705724"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1304100607"},{"key":"e_1_3_3_10_2","first-page":"3258396","article-title":"Ex vivo evaluation of secretion-clearing device in reducing airway resistance within endotracheal tubes","volume":"2018","author":"Waters C","year":"2018","unstructured":"Waters C, , Wiener RC, , Motlagh HM. Ex vivo evaluation of secretion-clearing device in reducing airway resistance within endotracheal tubes. Crit Care Res Pract, 2018; 2018:3258396.","journal-title":"Crit Care Res Pract"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31822e9fe3"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-1938"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2016.052"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.06222"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.03410"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.10830","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.10830","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.10830","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:39:19Z","timestamp":1775468359000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.10830"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,20]]},"references-count":14,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.4187\/respcare.10830"],"URL":"https:\/\/doi.org\/10.4187\/respcare.10830","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1,20]]}}}