Nurse’s Roles In Caring For Patients With Tracheostomy In Intensive Care
Keywords:
tracheostomy care, intensive care unit, role of nurseAbstract
Tracheostomy care is a common and important concern in an intensive care unit. Nurses are the health care professionals who must provide proper care to prevent complications among patients with tracheostomy. This article aimed to guide the indications, benefits, complications, and nursing care for critical-care patients with tracheostomy. Significant post-tracheostomy complications include bleeding and tracheostomy tube obstruction. The nursing role regarding intensive care patients with tracheostomy includes bleeding assessment, stoma care, suction and cuff care. Therefore, nurses who practice early detection of these problems can prevent tracheostomy complications.
References
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https://www.aci.health.nsw.gov.au
Azizan, A., Hor, C. P., Razak, R. A., Puang, S., Ahmad, S., Bahakodin, N. A., ... Taha, H.
M. (2016). Post-operative tracheostomy care in an intensive care unit.
The Online Journal of Clinical Audits, 8(2), 1-5.
Billington, J., & Luckett, A. (2019). Care of the critically ill patient with a
tracheostomy. Nursing Standard. doi: 10.7748/ns.2019. e11297
Bodenham, A., Bell, D., Bonner, S., Branch D., Dawson, D., Morgan, P., … Mackenzie, S.
(2014). Standards for the care of adult patients with a temporary
tracheostomy: standard and guideline. Intensive Care Society. Retrieved from
https://www.theawsomecourse.co.uk/ICS/ICS%20Tracheostomy%20standards%20(2014).pdf
Dawson, D. (2014). Essential principles: tracheostomy care in the adult patient. British
Association of Critical Care Nurses, 19(2), 63-72.
Durbin, C. G., Perkins, M. P., & Moores, L. K. (2010). Should tracheostomy be
peformed as early as 72 hours in patients requiring prolonged mechanical
ventilation? Respiratory Care, 55(1), 76-87.
El-Anwar, M. W., Nofal, A. A., Shawadfy, M. A., Maaty, A., & Khazbak, A. O. (2017).
Tracheostomy in the intensive care unit: a university hospital in a developing country study. International Archives of Otorhinolaryngology, 21(1), 33-37.
Hoorn, S. T., Elbers, P. W., Girbes, A. R., & Tuinman, P. R. (2016). Communicating with
conscious and mechanically ventilated critically ill patients: a systematic review. Critical Care, 20, 333 DOI 10.1186/s13054-016-1483-2.
Hosokawa, K., Nishimura, M., Egi, M., & Vincent, J. (2015). Timing of tracheotomy in
ICU patients: a systematic review of randomized controlled trials. Critical Care, 19, 424.
Lewith, H., & Athanassoglou, V. (2019). Update on management of tracheostomy.
British Journal of Anesthesia Education, 19(11), 370 – 376.
McKim, D. A., Hendin, A., LeBlanc, C., King, J., Brown, C. R. L., & Woolnough, A.
(2012). Tracheostomy decannulation and cough peak flows in patients with neuromuscular weakness. Am J Phys Med Rehabil, 91, 666-670.
Morris, L. L., Whitmer, A., & McIntosh, E. (2013). Tracheostomy care and complications
In the intensive care unit. Critical Care Nurse, 33(5), 18-22, 24-31.
Ng, J., Hamrang-Youseji, S., & Agarwall, A. (2020). Tracheostomy tube change. NCBI
Bookshelf: StatPearls.
Parker, L. C. (2014). Tracheostomy care: keep the stoma clean and dry to prevent
skin breakdown. Nursing2014 Critical Care, 9(6), 38-41.
Putensen, C., Theuerkauf, N., Guenther, U., Vargas, M., & Pelosi, P. (2014).
Percutaneous and surgical tracheostomy in critically ill adult patients: a meta-
analysis. Crit Care Lond Engl, 18(6), 544.
Siempos, I. I., Ntaidou, T. K., Filippidis, F. T., & Choi, A. K. (2014). Retracted: Effect of
early versus late or no tracheostomy on mortality of critically ill patients receiving mechanical ventilation: a systemic review and meta- analysis. Lancet Respir Med. Retrieved from http://dx.doi.org/10.1016/S2213-2600(14)70125
Trouillet, J. L., Collange, O., Belafia, F., Blot, F., Capellier, G., Cesareo, E., ... Quillot, M.
(2018). Tracheostomy in the intensive care unit: Guideline from a French
expert panel. Anaesth Crit Care Pain Med, 37, 281-294.
Vargas, M., Sutherasan, Y., Antonelli, M., Brunetti, L., Corcione. A., Laffey. J., … Pelosi,
P. (2015). Tracheostomy procedures in the intensive care unit: an international survey. Critical care, 19, 291.
Zhu, H., Das, P., Woodhouse, R., & Kubba, H. (2014). Improving the quality of
tracheostomy care. Breathe, 10(4), 286 – 294.
facilities with a tracheostomy: clinical practice guideline. Retrieved from
https://www.aci.health.nsw.gov.au
Azizan, A., Hor, C. P., Razak, R. A., Puang, S., Ahmad, S., Bahakodin, N. A., ... Taha, H.
M. (2016). Post-operative tracheostomy care in an intensive care unit.
The Online Journal of Clinical Audits, 8(2), 1-5.
Billington, J., & Luckett, A. (2019). Care of the critically ill patient with a
tracheostomy. Nursing Standard. doi: 10.7748/ns.2019. e11297
Bodenham, A., Bell, D., Bonner, S., Branch D., Dawson, D., Morgan, P., … Mackenzie, S.
(2014). Standards for the care of adult patients with a temporary
tracheostomy: standard and guideline. Intensive Care Society. Retrieved from
https://www.theawsomecourse.co.uk/ICS/ICS%20Tracheostomy%20standards%20(2014).pdf
Dawson, D. (2014). Essential principles: tracheostomy care in the adult patient. British
Association of Critical Care Nurses, 19(2), 63-72.
Durbin, C. G., Perkins, M. P., & Moores, L. K. (2010). Should tracheostomy be
peformed as early as 72 hours in patients requiring prolonged mechanical
ventilation? Respiratory Care, 55(1), 76-87.
El-Anwar, M. W., Nofal, A. A., Shawadfy, M. A., Maaty, A., & Khazbak, A. O. (2017).
Tracheostomy in the intensive care unit: a university hospital in a developing country study. International Archives of Otorhinolaryngology, 21(1), 33-37.
Hoorn, S. T., Elbers, P. W., Girbes, A. R., & Tuinman, P. R. (2016). Communicating with
conscious and mechanically ventilated critically ill patients: a systematic review. Critical Care, 20, 333 DOI 10.1186/s13054-016-1483-2.
Hosokawa, K., Nishimura, M., Egi, M., & Vincent, J. (2015). Timing of tracheotomy in
ICU patients: a systematic review of randomized controlled trials. Critical Care, 19, 424.
Lewith, H., & Athanassoglou, V. (2019). Update on management of tracheostomy.
British Journal of Anesthesia Education, 19(11), 370 – 376.
McKim, D. A., Hendin, A., LeBlanc, C., King, J., Brown, C. R. L., & Woolnough, A.
(2012). Tracheostomy decannulation and cough peak flows in patients with neuromuscular weakness. Am J Phys Med Rehabil, 91, 666-670.
Morris, L. L., Whitmer, A., & McIntosh, E. (2013). Tracheostomy care and complications
In the intensive care unit. Critical Care Nurse, 33(5), 18-22, 24-31.
Ng, J., Hamrang-Youseji, S., & Agarwall, A. (2020). Tracheostomy tube change. NCBI
Bookshelf: StatPearls.
Parker, L. C. (2014). Tracheostomy care: keep the stoma clean and dry to prevent
skin breakdown. Nursing2014 Critical Care, 9(6), 38-41.
Putensen, C., Theuerkauf, N., Guenther, U., Vargas, M., & Pelosi, P. (2014).
Percutaneous and surgical tracheostomy in critically ill adult patients: a meta-
analysis. Crit Care Lond Engl, 18(6), 544.
Siempos, I. I., Ntaidou, T. K., Filippidis, F. T., & Choi, A. K. (2014). Retracted: Effect of
early versus late or no tracheostomy on mortality of critically ill patients receiving mechanical ventilation: a systemic review and meta- analysis. Lancet Respir Med. Retrieved from http://dx.doi.org/10.1016/S2213-2600(14)70125
Trouillet, J. L., Collange, O., Belafia, F., Blot, F., Capellier, G., Cesareo, E., ... Quillot, M.
(2018). Tracheostomy in the intensive care unit: Guideline from a French
expert panel. Anaesth Crit Care Pain Med, 37, 281-294.
Vargas, M., Sutherasan, Y., Antonelli, M., Brunetti, L., Corcione. A., Laffey. J., … Pelosi,
P. (2015). Tracheostomy procedures in the intensive care unit: an international survey. Critical care, 19, 291.
Zhu, H., Das, P., Woodhouse, R., & Kubba, H. (2014). Improving the quality of
tracheostomy care. Breathe, 10(4), 286 – 294.
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Published
2020-12-28
How to Cite
Kaewthamrong, S., & Hakom, N. . (2020). Nurse’s Roles In Caring For Patients With Tracheostomy In Intensive Care. The Journal of Faculty of Nursing Burapha University, 28(4), 114–123. retrieved from https://he02.tci-thaijo.org/index.php/Nubuu/article/view/248305
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