一项范围审查,绘制一次性内吸管在机械通风患者中重复使用一次性内吸管实践的含义
Mohamed H Eid1, Kevin Hambridge2, Patricia Schofield2
1School of Nursing and Midwifery, Faculty of Health, University of Plymouth, United Kingdom; Critical Care and Emergency Nursing Department, Faculty of Nursing, Mansoura University, Egypt.
Intensive & critical care nursing
|October 2, 2024
概括
在资源较低的环境中重复使用一次性内喉吸管显示出混合的结果. 一些研究表明感染风险增加,而另一些研究则表明使用赫西丁时的安全性和潜在益处,如减少呼吸机相关的肺炎. 需要进一步的研究.
科学领域:
- 关键护理医学 关键护理医学
- 感染控制 感染控制
- 卫生经济学 卫生经济学
背景情况:
- 有限的证据存在于内吸管使用频率的内吸管.
- 资源有限的国家经常在护理班期间重复使用一次性吸管导管.
- 本综述绘制了重复使用一次性内吸管对机械通风患者的影响.
研究的目的:
- 审查现有的关于重复使用一次性内喉吸管的实践的文献.
- 评估这种做法对机械通风患者的治疗结果的影响.
- 为了确定有关内吸管导管使用频率的证据缺口.
主要方法:
- 根据JBI的方法进行了范围审查.
- 在CINAHL,EMBASE,MEDLINE和GLOBAL HEALTH数据库中进行系统搜索.
- 手动搜索关键期刊,选参考清单和灰色文献.
主要成果:
- 六篇文章符合纳入标准,揭示了各种各样的发现.
- 两项研究将重复使用与增加呼吸道感染风险联系在一起.
- 其他研究没有发现污染的差异或建议安全性,成本效益和减少与赫西丁冲洗的呼吸机相关的肺炎.
结论:
- 没有足够的强有力的证据来指导内吸管使用频率.
- 需要进一步的研究来比较机械通风患者的单次使用与多次使用导管.
- 在资源有限的环境中,护士可以遵循医院的政策;在重新使用导管时,赫西丁冲洗可以减轻感染风险.
相关概念视频
Tracheostomy Suctioning II: Procedure
179
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
179
Suctioning the Nasopharyngeal Airway
301
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
301
Suctioning the Oropharyngeal Airway
185
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
185
Tracheostomy Suctioning I: Pre-Procedural Steps
445
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
445
Endotracheal Tube Extubation
462
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
462
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
388
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
388


