• Respiratory care · Sep 2014

    Case Reports

    Removal of Endotracheal Tube Debris Obstruction by a Clearing Secretion Device.

    • Cristina Mietto, Kevin Foley, Lindsay Salerno, Jenna Oleksak, Riccardo Pinciroli, Jeremy Goverman, and Lorenzo Berra.
    • Department of Anesthesia, Critical Care and Pain Medicine.
    • Respir Care. 2014 Sep 1;59(9):e122-6.

    AbstractAccumulation of secretions may suddenly occlude an endotracheal tube (ETT), requiring immediate medical attention. The endOclear catheter (Endoclear LLC, Petoskey, Michigan) is a novel device designed to clear mucus and debris from an ETT and restore luminal patency. We present 3 subsequent cases of life-threatening partial ETT occlusions recorded over a period of 6 months at Massachusetts General Hospital. After conventional methods (standard tracheal suctioning and bronchoscopy) failed, the endOclear was used, with successful restoration of the airways in all 3 cases. The respiratory conditions rapidly improved, and all 3 patients tolerated the ETT-cleaning maneuver. These results show that such a device is safe and easy to use during an emergency airway situation for efficient and rapid removal of secretions from obstructed ETTs by respiratory therapists.Copyright © 2014 by Daedalus Enterprises.

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