Articles Vol. 67 No. 3 31/03/2026

OUTCOMES OF CONTINUOUS OROPHARYNGEAL SUCTIONING AFTER EXTUBATION IN PATIENTS WITH TRAUMATIC BRAIN INJURY AT BACH MAI HOSPITAL IN 2025

Vu Van Kham1,2, Cao Thi Dinh1,2, Chu Thi Viet1,2, Dinh Thi Lan1,2, Bach Thi Thu Trang1,2
1 Anesthesia and Resuscitation Center, Bach Mai Hospital
2 Trung tâm Gây mê Hồi sức, Bệnh viện Bạch Mai
DOI: 10.52163/yhc.v67i3.4637
16 Views
3 Downloads
Keywords
Continuous oropharyngeal suctioning; Extubation; Traumatic brain injury; Airway care; Intensive care.
Abstract

Objectives: To evaluate the effectiveness of continuous oropharyngeal suctioning after extubation in patients with traumatic brain injury and to analyze factors related to intervention outcomes.

Methods: A randomized clinical trial was conducted on 22 patients with traumatic brain injury after extubation at the Center of Anesthesiology and Intensive Care, Bach Mai Hospital, from April to October 2025. Patients were randomly assigned to either continuous oropharyngeal suctioning (n=11) or intermittent oropharyngeal suctioning (n=11). Outcome measures included the volume of secretions removed, number of suction catheters used, treatment outcomes, and procedure-related complications.

Results: The continuous suctioning group showed a significantly higher and more stable volume of secretions removed over three days after extubation compared with the intermittent group (p<0.05), while using fewer suction catheters (p<0.05). No reintubation cases were observed in the continuous group, whereas one patient in the intermittent group required reintubation and tracheostomy. Nausea and vomiting were more frequent in the continuous group, while nasal and oral bleeding occurred more often in the intermittent group.

Conclusions: Continuous oropharyngeal suctioning is an effective and safe intervention for airway secretion management and may reduce the risk of extubation failure in patients with traumatic brain injury.

References
[1]
Bộ Y tế. Hướng dẫn chăm sóc người bệnh hồi sức tích cực. Hà Nội: Nhà xuất bản Y học; 2020. Google Scholar
[2]
Bộ Y tế. Quy trình kỹ thuật điều dưỡng (Tái bản). Hà Nội: Nhà xuất bản Y học; 2021. Google Scholar
[3]
Bộ Y tế. Hướng dẫn chẩn đoán và điều trị một số bệnh lý hô hấp. Hà Nội: Nhà xuất bản Y học; 2023. Google Scholar
[4]
World Health Organization. Thille guidelines on integrated care for older people. Geneva: WHO Press; 2021. 10.1164/rccm.201208-1523C. Google Scholar
[5]
Thille AW, Richard JC, Brochard L. The decision to extubate in the intensive care unit. Am J Respir Crit Care Med. 2013;187(12):1294–1302. doi:10.1164/rccm.201208-1523CI. Google Scholar
[6]
Maggiore SM, Lellouche F, Pigeot J, Deye N, Durrmeyer X, Brochard L. Prevention of extubation failure in high-risk patients with noninvasive ventilation. Am J Respir Crit Care Med. 2014;190(3):282–288. 10.1164/rccm.201401-0037OC. Google Scholar
[7]
Zhang Z, Chen K, Ni H. Endotracheal suctioning frequency is associated with extubation failure in critically ill patients. J Crit Care. 2015;30(4):735–739. 10.1016/j.jcrc.2015.03.014. Google Scholar
[8]
Lacherade JC, De Jonghe B, Guezennec P, Hayon J, Monsel A, Outin H. Intermittent versus continuous subglottic secretion drainage in mechanically ventilated patients. Am J Respir Crit Care Med. 2010;182(7):910–917. 10.1164/rccm.201001-0070OC. Google Scholar
[9]
Muscedere J, Rewa O, McKechnie K, Jiang X, Laporta D, Heyland DK. Subglottic secretion drainage for the prevention of ventilator-associated pneumonia: A systematic review and meta-analysis. Crit Care Med. 2012;40(8):2340–2350. 10.1097/CCM.0b013e31824e0c4b. Google Scholar
[10]
Blot S, Labeau S, Vandijck D, Van Aken P, Claes B. Prevention of ventilator-associated pneumonia and ventilator-associated conditions by subglottic secretion suctioning. Crit Care Med. 2015;43(1):e1–e8. 10.1097/CCM.0000000000000709. Google Scholar