Main Article Content
Endotracheal suctioning (ETS) is an essential nursing activity to maintain a patent airway and avoid
accumulation of secretions in pulmonary tract. It is required for patients with severe traumatic brain injury
(sTBI) to preventing hypoxia that lead to secondary cerebral injury. However, ETS is associated with adverse
effects in both children and adults with severe TBI. The nursing procedures including suctioning with manual
hyperinflation, promoting cough, hyperventilation, duration of suctioning, and ineffective pain management
during ETS effect on cerebral perfusion pressure (CPP), mean arterial pressure (MAP), and intracranial
pressure (ICP). Therefore the appropriate and competent suctioning technique of pediatric and adult intensive
care nurse is important in minimizing risk and adverse events.
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