What is your opinion on the use of saline during suctioning?

Numerous studies have evaluated the use of saline during suctioning. Although the use of saline during suctioning remains controversial, some practitioners still continue this practice.
Due to the normal upper airways being bypassed with the placement of artificial airways, it is of extreme importance that adequate humidification is provided to prevent drying of secretions and mucus plugging. Therefore, a humidification device or heat moisture exchanger (HME) must be used when endotracheal or tracheostomy tubes are in use.
Prompt
What is your opinion on the use of saline during suctioning? Are there any instances when the use of saline during suctioning is acceptable? Be sure to justify your opinion by citing evidence from the course reading or outside resources.
Submit your answer in at 500 words on a Word document as instructed. Select the Upload button to submit this assignment to your instructor. You must cite at least three references in APA format to defend your position.