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Related Experiment Videos

Endotracheal suctioning: time-worn ritual or timely intervention?

B Copnell1, D Fergusson

  • 1Royal Children's Hospital, Melbourne, Australia.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|March 1, 1995
PubMed
Summary

Nurses use many criteria for endotracheal tube suctioning decisions, often waiting for patient condition changes. Clear guidelines and education are needed for effective, necessary suctioning protocols.

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Area of Science:

  • Nursing Practice
  • Respiratory Care

Background:

  • Endotracheal tube suctioning frequency is debated, lacking objective data.
  • Current practices vary among healthcare professionals.

Purpose of the Study:

  • To investigate the decision-making criteria nurses employ for endotracheal suctioning.
  • To understand the factors influencing the timing of endotracheal suctioning.

Main Methods:

  • Qualitative study involving 24 registered nurses with diverse experience levels.
  • Open-ended questions explored theoretical knowledge, application, practice, and decision-making regarding suctioning.

Main Results:

  • Nurses believed suctioning was needed every 1-3 hours; 17 performed it every 2-3 hours.

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  • Twenty criteria were identified for suctioning decisions, including nine for frequency.
  • Immediate suctioning was triggered by patient condition changes like desaturation or hemodynamic instability.

    • Conclusions:

    • Suctioning decisions are complex, with nurses often relying on patient deterioration.
    • A need exists for clear guidelines and staff education on "as needed" suctioning protocols.