CHANG SHIM, M.D.; NORMAN FINE, M.D.; ROGELIO FERNANDEZ, M.D.; M. HENRY WILLIAMS JR., M.D.
Seventeen patients with lung disease were monitored with an electrocardiogram during tracheal suctioning after they had breathed both air and 100% oxygen. Eight of them had a tracheostomy, three had an orotracheal tube, and six had no intubation.
The incidence of transient cardiac arrhythmia during tracheal suctioning was significant while breathing air (35%). Arrhythmias included frequent atrial premature contractions, nodal tachycardia, transient sinus arrest, incomplete heart block, and frequent premature ventricular contractions. After a brief period of breathing 100% oxygen tracheal suctioning was no longer associated with significant arrhythmia.
Tracheal suctioning should be done after the patient breathes 100% oxygen in order to avoid complicating, potentially dangerous cardiac arrhythmias.
SHIM C, FINE N, FERNANDEZ R, WILLIAMS MH. Cardiac Arrhythmias Resulting from Tracheal Suctioning. Ann Intern Med. ;71:1149–1153. doi: 10.7326/0003-4819-71-6-1149
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Published: Ann Intern Med. 1969;71(6):1149-1153.
Cardiology, Pulmonary/Critical Care, Rhythm Disorders and Devices.
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