Is the practice of normal saline instillation prior to tracheal suctioning safe in preventing infection and effective in removing secretions?

Is the practice of normal saline instillation prior to tracheal suctioning safe in
Is the practice of normal saline instillation prior to tracheal suctioning safe in preventing infection and effective in removing secretions?
I choose this topic because I have noticed that in the hospital I work (in Saudi Arabia), some nurses do that while others don’t, without a clear guidelines. So I want to carry out a systematic search and critically review the literature to see wether it is better to use saline before suctioning or not! for evidence-based practice
My assignment should include the following:

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