Effective Catheter Manoeuvre for the Removal of Phlegm by Suctioning : A Biomechanical Analysis of Experts and Novices

Colley, Noriyo; Mani, Hiroki; Ninomiya, Shinji; Komizunai, Shunsuke; Murata, Eri; Oshita, Hiroka; Taneda, Kenji; Shima, Yusuke; Asaka, Tadayoshi

Effective Catheter Manoeuvre for the Removal of Phlegm by Suctioning : A Biomechanical Analysis of Experts and Novices

Colley, Noriyo; Mani, Hiroki; Ninomiya, Shinji et al.

Journal of medical and biological engineering, 2020, 40(3), 340-347

Permalink : https://hdl.handle.net/2115/81058

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アクセス権	open access
URI	https://hdl.handle.net/2115/81058
タイトル	Effective Catheter Manoeuvre for the Removal of Phlegm by Suctioning : A Biomechanical Analysis of Experts and Novices
著者	Colley, Noriyo ; Mani, Hiroki ; Ninomiya, Shinji ; Komizunai, Shunsuke ; Murata, Eri ; Oshita, Hiroka ; Taneda, Kenji ; Shima, Yusuke ; Asaka, Tadayoshi
e-Rad_Researcher 80431310 著者名 Colley, Noriyo
e-Rad_Researcher 10765514 著者名 Mani, Hiroki
e-Rad_Researcher 60237774 著者名 Ninomiya, Shinji
e-Rad_Researcher 40708004 著者名 Komizunai, Shunsuke
著者名 Murata, Eri
著者名 Oshita, Hiroka
著者名 Taneda, Kenji
著者名 Shima, Yusuke
e-Rad_Researcher 60241387 著者名 Asaka, Tadayoshi
言語	英語
キーワード	Catheter manoeuvre
	Tracheal suctioning
	Motion capture system
	Nurse
	Simulator
発行日	2020-04-24
出版者	Springer
収録物名	Journal of medical and biological engineering
巻(号)	40(3)
ページ	340-347
抄録	Purpose The aim of this study was to determine the effective biomechanical technique for suctioning phlegm. Methods A novel tracheal suctioning simulator combined with a motion capture system was used to calculate the amount of simulated phlegm suctioned and the biomechanical parameters of the associated suctioning manoeuvre. A laboratory study, including 12 nurses with > 3 years of suctioning experience and 12 nursing students without any clinical suctioning experience, was conducted. The amount of phlegm suctioned, the maximum length of catheter insertion, and the biomechanical parameters of hand movement were calculated. Results The mean amount of phlegm suctioned per second was significantly larger in the experienced group than in the non-experienced group. The amount of phlegm suctioned correlated positively with the length of the vertical path of motion of the wrist and forearm, and with the angular velocity of thumb rotation in both the groups. Conclusion Greater vertical motion of the wrist and thumb rotation improved the effectiveness of phlegm suctioning and prevented the need for deep suctioning, which is unsafe.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	This is a post-peer-review, pre-copyedit version of an article published in Journal of Medical and Biological Engineering. The final authenticated version is available online at: http://dx.doi.org/10.1007/s40846-020-00521-y.
PISSN	1609-0985
EISSN	2199-4757
関連情報	PMID 32421097
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1007/s40846-020-00521-y