diane1970

Thanks everyone for your replies, I personally have never gone to the carina, why should we be inflicting more trauma on these patients than what they have already gone through. I am doing what we are taught within the code of conduct to challenge and change practice based on the best available evidence, and i am so glad there are others out there who share my belief in giving patients the best possible care we can give, not just carrying out practice the way we were shown. I would be extremely grateful if any of you have any articles they could e mail. And for my next query THE USE OF SALINE is this necessary? evidence shows NO benefit of introducing saline to break up secretions. Regards Diane

Hi Everyone. I work with a client who is ventilated, and requires tracheal suction, the specialist who liases with us recommends that we insert the suction catheter until resistance is met i.e. carina, i have come across articles which do not recommend this, i have taken on researching the practice and would like as much info as possible before addressing this issue with the specialist, any info for and against, you could give me would be of great assistance. Thanks diane1970 -------------------- He who asks is a fool for five minutes, but he who does not ask remains a fool forever