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Performing endotracheal suction on children: a literature review and implications for nursing practice
Intensive & Critical Care Nursing
|March 1, 1993
Insights
This review examines endotracheal tube suctioning in pediatric nursing. It offers recommendations to reduce patient discomfort and risks associated with this critical procedure.
Area of Science:
- Pediatric Nursing
- Respiratory Care
Background:
- Endotracheal tube suctioning is a common nursing intervention for pediatric patients requiring airway management.
- Effective suctioning is crucial for maintaining airway patency and preventing complications such as VAP.
Purpose of the Study:
- To review existing literature on endotracheal tube suctioning in children.
- To discuss current techniques and associated challenges.
- To provide evidence-based recommendations for optimizing patient care.
Main Methods:
- Comprehensive literature search of relevant databases.
- Synthesis of findings on suctioning techniques, complications, and patient outcomes.
- Extrapolation of recommendations for clinical practice.
Main Results:
- Identification of various suctioning techniques and their efficacy.
- Discussion of common problems encountered, including patient distress and airway trauma.
- Highlighting the importance of sterile technique and appropriate catheter size.
Conclusions:
- Standardized protocols for endotracheal tube suctioning are essential.
- Minimizing suction duration and pressure can reduce patient discomfort and risks.
- Further research is needed to refine best practices in pediatric airway management.
Abstract:
The purpose in this paper is to review the literature concerning endotracheal tube suction as a nursing procedure used for children, and to discuss common techniques and problems. From the discussion, recommendations for care are extrapolated in order to minimise discomfort for, and risks to, the patients.