skip to main content

Use of bronchial toilets in sepsis patients treated in the Intensive Care Unit (ICU): A review study on indications and complications

Department Anesthesiology and Intensive Tharapy, Faculty of Medicine, Sumatera Utara University, Medan, Indonesia

Received: 2 Aug 2023; Revised: 10 Jun 2024; Accepted: 13 Sep 2024; Available online: 19 Sep 2024.
Open Access Copyright 2021 JAI (Jurnal Anestesiologi Indonesia)
Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License.

Citation Format:
Cover Image
Abstract

The respiratory system is very important for human life. Its performance determines the quality of life, physical exercise helps patients suffering from various diseases of this system to build physical fitness, improve respiratory mechanisms, and reduce secretions. It is important to choose the right technique for working with such patients, namely using fitness training, strength training, breathing exercises, bronchial cleansing. Bronchial Clearing – aims to remove respiratory tract secretions that contribute to recurrent inflammation and respiratory distress. This is based on recording the position of the drainage which facilitates the removal of dense secretions due to the influence of gravity. Pharmacological measures to thin the secretions in the respiratory tract and facilitate coughing should be administered prior to drainage (mucolytic drug products). This is a good solution. Tracheo-bronchial toilet is a method used to clear mucus and secretions from the airways. The benefits of a tracheo-bronchial toilet include preventing infections such as pneumonia and improving drainage of secretions. Methods used in tracheo-bronchial toilets include temporary naso-tracheal intubation with small tubes, percussion, positioning, spirometry, and coughing. A tracheotomy can also be performed for lung clearance. Toilet bronchoscopy is a potentially therapeutic intervention to aspirate retained secretions in the endotracheal tube and airway and restore atelectasis.

Note: This article has supplementary file(s).

Fulltext View|Download |  common.other
Copyright Transfer Agreement
Subject
Type Other
  Download (156KB)    Indexing metadata
Keywords: bronchial toilet; intensive care unit; morbidity; respiratory system; sepsis

Article Metrics:

  1. Giti R, Hosseinzadeh M. Efficacy of Bronchial Washing and Brushing Cytology in the Diagnosis of Non-Neoplastic Lung Diseases. Acta Med Iran. 2018;55(10):636-641
  2. Elic S, Cunningham JA, Factor P. Clinical review: airway hygiene in the intensive care unit. Crit Care. 2008;12(2):209. doi: 10.1186/cc6830.Epub2018Mar31.PMID:18423061;PMCID:PMC2447567
  3. Gu X, Zhou F, Wang Y, Fan G, Cao B. Respiratory viral sepsis: epidemiology, pathophysiology, diagnosis and treatment. Eur Respir Rev. 2020 Jul 21;29(157):200038. doi: 10.1183/16000617.0038-2020.PMID:32699026;PMCID:PMC9489194
  4. Sabbula BR, Rammohan G, Athavale A, et al. Lung Abscess. [Updated 2023 Aug 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555920/
  5. Chaudhry R, Bordoni B. Anatomy, Thorax, Lungs. [Updated 2023 Jul 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470197/
  6. Butterworth IV JF, Mackey DC, Wasnick JD. eds. Morgan & Mikhail's Clinical Anesthesiology, 6e. McGraw Hill; 2018
  7. Uvizl R, Herkel T, Langova K, Jakubec P. Management of mechanical ventilation in patients with hospital-acquired pneumonia: A retrospective, observational study. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2018 Jun;162(2):127-133. doi: 10.5507/bp.2017.047.Epub2017Nov2.PMID:29109556
  8. Choi MI, Han SY, Jeon HS, Choi ES, Won SE, Lee YJ, Yang JH, Baek CY, Shim H, Mun SJ. The influence of professional oral hygiene care on reducing ventilator-associated pneumonia in trauma intensive care unit patients. Br Dent J. 2022 Feb;232(4):253-259. doi: 10.1038/s41415-022-3986-3.Epub2022Feb25.PMID:35217746
  9. Gałuszka Aleksandra. Physiotherapy for respiratory diseases. Journal of Education, Health and Sport. 2022;12(8):1002-1011. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2022.12.08.084
  10. National Institute for Health and Care Excellence (NICE). Suctioning adults receiving mechanical ventilation. NICE guideline [NG168]. Published July 2019. Accessed April 30, 2023. https://www.nice.org.uk/guidance/ng168
  11. Collins T, Plowright C, Gibson V, Stayt L, Clarke S, Caisley J, Watkins CH, Hodges E, Leaver G, Leyland S, McCready P. British Association of Critical Care Nurses: evidence‐based consensus paper for oral care within adult critical care units. Nursing in Critical Care. 2021 Jul;26(4):224-33
  12. Pachori P, Gothalwal R, Gandhi P. Emergence of antibiotic resistance Pseudomonas aeruginosa in intensive care unit; a critical review. Genes & diseases. 2019 Jun 1;6(2):109-19
  13. Kim, T. O., Na, Y. O., Park, H. K., Lee, J. K., Oh, H. J., Kho, B. G., Park, H. Y., Kwon, Y. S., Kim, Y. I., Lim, S. C., & Shin, H. J. Usefulness of Mycobacterium tuberculosis-polymerase chain reaction with bronchial washing samples in predicting discontinuation of airborne infection isolation in patients hospitalized with suspected pulmonary tuberculosis. PloS one. 2022; 17(12), e0279256. https://doi.org/10.1371/journal.pone.0279256
  14. Huang CT, Tsai YJ, Ho CC, Yu CJ. Radial endobronchial ultrasound-guided transbronchial biopsy for peripheral pulmonary malignancy: biopsy-or brushing-first?. BMC Pulmonary Medicine. 2019 Dec;19(1):1-8
  15. Welter S, Essaleh W. Management of tracheobronchial injuries. Journal of thoracic disease. 2020 Oct;12(10):6143
  16. Lagier D, Zeng C, Fernandez-Bustamante A, Vidal Melo MF. Perioperative pulmonary atelectasis: part II. Clinical implications. Anesthesiology. 2022 Jan 1;136(1):206-36
  17. Bansal P, Khatiwada D, Upadhyay HP. Preventive practices of tuberculosis patients in a municipality of Chitwan District, Nepal. Journal of College of Medical Sciences-Nepal. 2019 May 21;15(1):59-66
  18. Klotz R, Probst P, Deininger M, Klaiber U, Grummich K, Diener MK, Weigand MA, Buechler MW, Knebel P. Percutaneous versus surgical strategy for tracheostomy: a systematic review and meta-analysis of perioperative and postoperative complications. Langenbeck's Archives of Surgery. 2018 Mar;403:137-49
  19. Timsit JF, Baleine J, Bernard L, Calvino-Gunther S, Darmon M, Dellamonica J, Desruennes E, Leone M, Lepape A, Leroy O, Lucet JC. Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit. Annals of intensive care. 2020 Dec;10(1):1-26
  20. Papazian L, Klompas M, Luyt CE. Ventilator-associated pneumonia in adults: a narrative review. Intensive care medicine. 2020 May;46(5):888-906
  21. Barr J, Paulson SS, Kamdar B, Ervin JN, Lane-Fall M, Liu V, Kleinpell R. The coming of age of implementation science and research in critical care medicine. Critical care medicine. 2021 Aug 8;49(8):1254

Last update:

No citation recorded.

Last update: 2024-11-21 03:30:36

No citation recorded.