If mucous plugs or secretions occlude the tube on a home ventilator, the emt should suction the tube.
Given that endotracheal tubes hinder mucociliary clearance and that comparatively dry gases stimulate the mucosa to produce more mucus, invasive ventilation raises the risk of sputum retention.
Although there is a dearth of strong evidence, routine airway care, which entails repeated endotracheal suctioning and humidification of inspired air, is believed to guard against mucus retention in the lower airways.
The routine nebulization of mucolytics was believed to offer additional preventative effects in patients who were invasively ventilated against sputum retention.
Invasively ventilated patients are more likely to experience airway obstruction due to ineffective coughing, which is brought on by low levels of consciousness, drowsiness, paralysis, along with weakness both before and after extubation.
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