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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Current practice in airway management: A descriptive evaluation.

Rebecca Kjonegaard1, Willa Fields, Major L King

  • 1Sharp Grossmont Hospital, La Mesa, California, USA. Rebecca.Kjonegaard@sharp.com

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|April 23, 2009
PubMed
Summary
This summary is machine-generated.

Registered nurses and respiratory therapists show different practices in managing patients on mechanical ventilation. Consistent use of best practices by both professions is crucial to reduce ventilator-associated pneumonia risk.

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Area of Science:

  • Critical Care Medicine
  • Nursing Practice
  • Respiratory Therapy

Background:

  • Ventilator-associated pneumonia (VAP) is a frequent complication of mechanical ventilation.
  • Implementing evidence-based practices can decrease the risk of VAP.
  • Understanding current practices is key to improving patient outcomes.

Purpose of the Study:

  • To identify current practices in managing mechanically ventilated patients.
  • To compare the practices of registered nurses and respiratory therapists.
  • To highlight differences in airway management and suctioning techniques.

Main Methods:

  • A descriptive comparative study design was employed.
  • A survey was administered to 41 registered nurses and 25 respiratory therapists.
  • Data on suctioning and airway management practices were collected and analyzed using descriptive and inferential statistics.

Main Results:

  • Significant differences were observed in hyperoxygenation techniques before suctioning.
  • Nurses more frequently used the ventilator for hyperoxygenation, while respiratory therapists preferred bag-valve devices.
  • Respiratory therapists more often instilled saline and rinsed the closed suction system, whereas nurses focused more on oral care and suctioning oral/nasal secretions.

Conclusions:

  • Registered nurses and respiratory therapists exhibit significant differences in managing patients on mechanical ventilation.
  • Standardizing best practices between nurses and respiratory therapists is essential.
  • Consistent application of evidence-based protocols can help mitigate the risk of ventilator-associated pneumonia.