Recommendations for the prevention of adverse events in endotracheal suctioning – integrative review
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34632/cadernosdesaude.2018.7499 |
Resumo: | Introduction: The use of endotracheal suctioning is a common procedure in intensive care units, which implies various risks, namely hypoxemia, atelectasis, arterial hypertension, microbial colonization, etc. Nevertheless, healthcare professionals can adopt certain strategies to prevent these adverse events. Aim: To describe good practice relating to endotracheal suctioning in patients undergoing invasive ventilation. Materials and Methods: Integrative literature review. The research occurred in December 2015, using the databases B-on, PUBMED and RCAAP and 534 documents were found. After inclusion/exclusion and quality criteria evaluation, four studies were accepted for inclusion in this review. Results: Recommendations encountered were: suction only when necessary, pre-oxygenate, use a suction catheter with half the diameter of the endotracheal tube, avoid saline instillation, employ a closed aspiration system when FiO2 or positive end-expiratory pressure is elevated, limit the procedural duration to under 15 seconds and monitor the patient. Conclusion: The review demonstrates that some conclusions are not consensual, which represents a limitation of this study, since more experimental studies are needed, which represents a limitation of this study, since more experimental studies are needed. However, the stimulation of open debate, reflection, as well as the adoption of preventative measures, can lead to safer practice. |
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Recommendations for the prevention of adverse events in endotracheal suctioning – integrative reviewRecomendações na aspiração do tubo endotraqueal para prevenção de eventos adversos - revisão integrativaIntroduction: The use of endotracheal suctioning is a common procedure in intensive care units, which implies various risks, namely hypoxemia, atelectasis, arterial hypertension, microbial colonization, etc. Nevertheless, healthcare professionals can adopt certain strategies to prevent these adverse events. Aim: To describe good practice relating to endotracheal suctioning in patients undergoing invasive ventilation. Materials and Methods: Integrative literature review. The research occurred in December 2015, using the databases B-on, PUBMED and RCAAP and 534 documents were found. After inclusion/exclusion and quality criteria evaluation, four studies were accepted for inclusion in this review. Results: Recommendations encountered were: suction only when necessary, pre-oxygenate, use a suction catheter with half the diameter of the endotracheal tube, avoid saline instillation, employ a closed aspiration system when FiO2 or positive end-expiratory pressure is elevated, limit the procedural duration to under 15 seconds and monitor the patient. Conclusion: The review demonstrates that some conclusions are not consensual, which represents a limitation of this study, since more experimental studies are needed, which represents a limitation of this study, since more experimental studies are needed. However, the stimulation of open debate, reflection, as well as the adoption of preventative measures, can lead to safer practice.Introdução: A aspiração endotraqueal é um procedimento bastante comum em Unidades de Cuidados Intensivos. Apesar de frequente, este procedimento implica diversos riscos, como hipoxemia, atelectasia, hipertensão arterial, colonização microbiana, entre outros. Os profissionais de saúde podem adotar estratégias para prevenir esses eventos adversos. Objetivo: Descrever as recomendações de boas práticas em relação à aspiração endotraqueal em doentes sob ventilação invasiva. Materiais e Métodos: Revisão integrativa da literatura. A pesquisa foi realizada nas bases de dados B-on, PUBMED e RCAAP em dezembro de 2015. Foram encontrados 534 documentos e, após aplicação dos critérios de inclusão e avaliação qualitativa, foram incluídos 4 estudos. Resultados: As recomendações encontradas foram: aspirar apenas quando necessário, pré-oxigenar, utilizar um cateter de aspiração com metade do diâmetro do tubo endotraqueal, usar a menor pressão de aspiração possível, aspiração superficial, evitar a instilação de solução salina, utilizar sistema de aspiração fechados quando FiO2 ou pressão positiva após expiração elevadas, duração inferior a 15 segundos e monitorizar doente. Conclusão: Alguns aspetos relacionados com a aspiração no tubo endotraqueal não são consensuais, o que representa uma limitação deste estudo, pois são necessários mais estudos experimentais. No entanto, o estímulo ao debate, à reflexão e à adoção de medidas preventivas conduzem a uma prática mais segura.Universidade Católica Portuguesa2018-01-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34632/cadernosdesaude.2018.7499https://doi.org/10.34632/cadernosdesaude.2018.7499Cadernos de Saúde; Vol 10 No 1 (2018); 42-47Cadernos de Saúde; v. 10 n. 1 (2018); 42-472795-43581647-055910.34632/cadernosdesaude.2018.10.1reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistas.ucp.pt/index.php/cadernosdesaude/article/view/7499https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/7499/9368Direitos de Autor (c) 2020 Ana Sabrina Sousa, Cândida Ferrito, José Artur Paivahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSousa, Ana SabrinaFerrito, CândidaPaiva, José Artur2023-10-03T15:47:57Zoai:ojs.revistas.ucp.pt:article/7499Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:33:09.355104Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Recommendations for the prevention of adverse events in endotracheal suctioning – integrative review Recomendações na aspiração do tubo endotraqueal para prevenção de eventos adversos - revisão integrativa |
title |
Recommendations for the prevention of adverse events in endotracheal suctioning – integrative review |
spellingShingle |
Recommendations for the prevention of adverse events in endotracheal suctioning – integrative review Sousa, Ana Sabrina |
title_short |
Recommendations for the prevention of adverse events in endotracheal suctioning – integrative review |
title_full |
Recommendations for the prevention of adverse events in endotracheal suctioning – integrative review |
title_fullStr |
Recommendations for the prevention of adverse events in endotracheal suctioning – integrative review |
title_full_unstemmed |
Recommendations for the prevention of adverse events in endotracheal suctioning – integrative review |
title_sort |
Recommendations for the prevention of adverse events in endotracheal suctioning – integrative review |
author |
Sousa, Ana Sabrina |
author_facet |
Sousa, Ana Sabrina Ferrito, Cândida Paiva, José Artur |
author_role |
author |
author2 |
Ferrito, Cândida Paiva, José Artur |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Sousa, Ana Sabrina Ferrito, Cândida Paiva, José Artur |
description |
Introduction: The use of endotracheal suctioning is a common procedure in intensive care units, which implies various risks, namely hypoxemia, atelectasis, arterial hypertension, microbial colonization, etc. Nevertheless, healthcare professionals can adopt certain strategies to prevent these adverse events. Aim: To describe good practice relating to endotracheal suctioning in patients undergoing invasive ventilation. Materials and Methods: Integrative literature review. The research occurred in December 2015, using the databases B-on, PUBMED and RCAAP and 534 documents were found. After inclusion/exclusion and quality criteria evaluation, four studies were accepted for inclusion in this review. Results: Recommendations encountered were: suction only when necessary, pre-oxygenate, use a suction catheter with half the diameter of the endotracheal tube, avoid saline instillation, employ a closed aspiration system when FiO2 or positive end-expiratory pressure is elevated, limit the procedural duration to under 15 seconds and monitor the patient. Conclusion: The review demonstrates that some conclusions are not consensual, which represents a limitation of this study, since more experimental studies are needed, which represents a limitation of this study, since more experimental studies are needed. However, the stimulation of open debate, reflection, as well as the adoption of preventative measures, can lead to safer practice. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-02 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34632/cadernosdesaude.2018.7499 https://doi.org/10.34632/cadernosdesaude.2018.7499 |
url |
https://doi.org/10.34632/cadernosdesaude.2018.7499 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/7499 https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/7499/9368 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2020 Ana Sabrina Sousa, Cândida Ferrito, José Artur Paiva http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2020 Ana Sabrina Sousa, Cândida Ferrito, José Artur Paiva http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Católica Portuguesa |
publisher.none.fl_str_mv |
Universidade Católica Portuguesa |
dc.source.none.fl_str_mv |
Cadernos de Saúde; Vol 10 No 1 (2018); 42-47 Cadernos de Saúde; v. 10 n. 1 (2018); 42-47 2795-4358 1647-0559 10.34632/cadernosdesaude.2018.10.1 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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