Evidence-Based Practice on Endotracheal Suctioning for Intubated Adult Patients
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Abstract
Based on a literature review and nursing experiences, nurses have been shown to employ differentendotracheal suctioning methods. These methods may increase complications, such as hypoxia, changes in vital signs and pneumonia. The objective of this systematic review was to provide the available evidence on endotracheal suctioning for intubated adult patients. The suction procedure and nursing care reported in this article was divided into 3 steps.
1) Nursing practices before endotracheal suctioning included assessment of clinical indications to provide suction, selection of the suction catheter, giving high concentration oxygen before suctioning, increase in lung volume, and patient preparation.
2) Nursing practices during endotracheal suctioning included the use of sterile techniques, the duration of suctioning, the level of negative pressure of suctioning, the depth of the inserted catheter, the frequency of suctioning and suctioning skill.
3) Nursing evaluation after endotracheal suctioning included, the evaluation of the patient after suctioning and giving high concentration oxygen.
Nurses and other health care providers can utilize these practices as suctioning guidelines for intubated
adult patients to promote safety and reduce suctioning complications.
Article Details
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
References
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