Dear Colleagues, i am writing from Switzerland. We do not have such suction devices like the neosucker. We use atraumatic catheters. And here comes my question. Years ago i learned that one can insert a "atraumatic" catheter with applied suction. When i searched the internet and my literature i found no evidence to support that practice. They all seem to insert the catheter and apply suction when pulling back the catheter. Is there a bigger possibility to damage the nasal tissue by applying suction while inserting the catheter? Dont one "pushes" the mucus further down the nose when insertin a catheter without suction? Is there any Literature available which shows a benefit of one ore the other technique? Thanks for your Help. PS i do apply suction when i insert a catheter into an ETT. Just to get the secretions that are within the ETT. But we do not suction deeper as the ETT Tip. So this shouldn`be a problem for damaging the Bronchus...