The Science Journal of the American Association for Respiratory Care

2011 OPEN FORUM Abstracts


John J. Hill, John J. Neary, Caroline Panichello, Sarah Kisner; Respiratory Care Services, Deborah Heart and Lung Center, Browns Mills, NJ

Suction collection canisters are used in almost every patient care area. These canisters provide a reservoir where solid and liquid components are separated from air and aerosols. The air and aerosols are then allowed to be withdrawn into the central suction system. Collection canisters are typically 800-2000ml in volume and contain a disposable rigid shell or a flexible inner liner. In clinical use they allow biological fluids to be contained at room temperature. Endogenous and exogenous organisms can thrive in this closed environment supported by suctioned physiological debris and nutrients. Once these collection vessels have been employed clinically, they become an environmental reservoir of contaminants and pathogens in that patient care area. Ventilator Associated Pneumonia (VAP) bundles commonly includes the recommendation that collection canisters be changed at a minimum of Q24hrs. The primary motivation for these recommendations is to attempt to remove the suction collection circuit as a potential vector for infection to the patient. This abstract will show how an evidence based protocol of 48hrs can reduce the cost of disposable components without and adverse effect on VAP Rate The reduction of risk from the suction collection circuit revolves around determining an effective change interval for the disposable components of the circuit. By regularly changing circuit components it is believed the vector of exogenous organisms from the suction circuit to the patient may be broken before the organism burden placed on the patient is too great. In October of 2009 our institution initiated a change in protocol whereby suction collection canisters in the SICU & MICU were changed on a Q48hrs basis instead of a Q24hrs basis. This change was based upon published data and the proper selection of reusable medical equipment. This change in protocol did not adversely affect the VAP rate for these two units (1.6 vs. 2.4). It is estimated that this change in protocol saved the institution over $1000 per ICU bed per year and resulted in a similar reduction in the amount of red bag waste from the facility. Sponsored Research - None