Evidence-Based Practice on Endotracheal Suctioning for Intubated Adult Patients

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สุรศักดิ์ พุฒิวณิชย์
นภาพร พุฒิวณิชย์
จันทนา เกลี้ยงพร้อม

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

How to Cite
1.
พุฒิวณิชย์ ส, พุฒิวณิชย์ น, เกลี้ยงพร้อม จ. Evidence-Based Practice on Endotracheal Suctioning for Intubated Adult Patients. NJPH (วารสาร พ.ส.) [Internet]. 2018 Jan. 26 [cited 2024 Mar. 28];27(3):10-8. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/110538
Section
บทความวิชาการ

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