Relevant bibliographies by topics / Suctioning techniques

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Academic literature on the topic 'Suctioning techniques'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Suctioning techniques"

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FARLEY, JOANNE. "ABOUT SUCTIONING TECHNIQUES." Nursing 18, no. 4 (April 1988): 125–39. http://dx.doi.org/10.1097/00152193-198804000-00036.

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Faraji, Azam, Alireza Khatony, Gholamreza Moradi, Alireza Abdi, and Mansour Rezaei. "Open and Closed Endotracheal Suctioning and Arterial Blood Gas Values: A Single-Blind Crossover Randomized Clinical Trial." Critical Care Research and Practice 2015 (2015): 1–7. http://dx.doi.org/10.1155/2015/470842.

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Aim. This study was aimed at comparing the effects of the open and closed suctioning techniques on the arterial blood gas values in patients undergoing open-heart surgery.Methods. In a clinical trial, we recruited 42 patients after open-heart surgery in an educational hospital. Each patient randomly underwent both open and closed suctioning. ABGs, PaO2, SaO2, PaCO2, were analyzed before and one, five, and fifteen minutes after each suctioning episode.Results. At first the pressure of oxygen in arterial blood increased; however, this increase in the open technique was greater than that of the closed system(P<0.001). The pressure of oxygen decreased five and fifteen minutes after both suctioning techniques(P<0.05). The trends of carbon dioxide variations after the open and closed techniques were upward and downward, respectively. Moreover, the decrease in the level of oxygen saturation five and fifteen minutes after the open suctioning was greater than that of the closed suctioning technique(P<0.05). Conclusion. Arterial blood gas disturbances in the closed suctioning technique were less than those of the open technique. Therefore, to eliminate the unwanted effects of endotracheal suctioning on the arterial blood gases, the closed suctioning technique is recommended.
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Daicoff, BB, Langham MRJr, TW Mullet, and HN Yarandi. "Physiologic response to two endotracheal suctioning techniques in newborn lambs with and without acute pulmonary hypertension." American Journal of Critical Care 4, no. 6 (November 1, 1995): 453–59. http://dx.doi.org/10.4037/ajcc1995.4.6.453.

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BACKGROUND: Endotracheal suctioning may cause sudden increases in pulmonary arterial pressure, which can result in hypoxia secondary to right ventricular failure and/or increased right-to-left shunting. An adaptor that allows suctioning without disconnecting the ventilator has been proposed to prevent these problems; however, its efficacy has not been rigorously studied. OBJECTIVE: To examine the physiologic responses to two endotracheal suctioning techniques in newborn lambs with and without acute pulmonary hypertension. METHODS: A repeated-measures design was used to compare two endotracheal suctioning techniques in seven newborn lambs with and without acute pulmonary hypertension. An adaptor was used in the ventilator-controlled technique, making disconnection of the ventilator during suctioning unnecessary. In the bag-controlled technique, the ventilator was disconnected and ventilation was done with a manual resuscitation bag. Physiologic variables, pulmonary and mean arterial pressure, peak inspiratory pressure, mixed venous oxygen saturation, cardiac index, and arterial blood gas values were recorded before, during, and after endotracheal suctioning. RESULTS: Endotracheal suctioning caused a statistically significant systemic hypertensive response in lambs with and without acute pulmonary hypertension, regardless of which suctioning technique was used. No statistically significant changes occurred in pulmonary arterial pressure using either technique. CONCLUSIONS: Use of an adaptor resulted in no differences in the physiologic responses to endotracheal suctioning. However, endotracheal suctioning was easier to perform using an adaptor because no extra equipment or person was needed.
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Sole, Mary Lou, Jacqueline F. Byers, Jeffery E. Ludy, Ying Zhang, Christine M. Banta, and Kathy Brummel. "A Multisite Survey of Suctioning Techniques and Airway Management Practices." American Journal of Critical Care 12, no. 3 (May 1, 2003): 220–30. http://dx.doi.org/10.4037/ajcc2003.12.3.220.

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• Background Ventilator-associated pneumonia, common in critically ill patients, is associated with microaspiration of oropharyngeal secretions and may be related to suctioning and airway management practices.• Objectives To describe institutional policies and procedures related to closed-system suctioning and airway management of intubated patients, and to compare practices of registered nurses and respiratory therapists.• Methods A descriptive, comparative, multisite study of facilities that use closed-system suctioning devices on most intubated adults was conducted. Nurses and respiratory therapists who worked at the sites completed surveys related to their practices.• Results A total of 1665 nurses and respiratory therapists at 27 sites throughout the United States responded. The typical respondent had at least 6 years’ experience with patients receiving mechanical ventilation (61%) and a baccalaureate degree or higher (54%). Most sites had policies for management of endotracheal tube cuffs (93%), hyperoxygenation (89%) and use of gloves (70%) with closed-system suctioning, and instillation of isotonic sodium chloride solution for thick secretions (74%). Only 48% of policies addressed oral care and 37% addressed oral suctioning. Nurses did more oral suctioning and oral care than respiratory therapists did, and respiratory therapists instilled sodium chloride solution more and rinsed the suctioning device more often than nurses did.• Conclusions Policies vary widely and do not always reflect current research. Consistent performance of practices such as wearing gloves for airway management and maintaining endotracheal cuff pressures must be evaluated. Collaborative, research-based policies and procedures must be developed and implemented to ensure best practices for intubated patients.
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Moore, Tina. "Suctioning techniques for the removal of respiratory secretions." Nursing Standard 18, no. 9 (November 12, 2003): 47–53. http://dx.doi.org/10.7748/ns2003.11.18.9.47.c3504.

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Mackey, L. "Cost and environmental comparisons of two tracheal suctioning techniques." Australian Critical Care 5, no. 1 (March 1992): 27. http://dx.doi.org/10.1016/s1036-7314(92)70022-8.

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Taylor-Piliae, R. "Review: several techniques optimise oxygenation during suctioning of patients." Evidence-Based Nursing 5, no. 2 (April 1, 2002): 51. http://dx.doi.org/10.1136/ebn.5.2.51.

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8

Brooks, Dina, Sherra Solway, Ian Graham, Laurie Downes, and Margaret Carter. "A Survey of Suctioning Practices among Physical Therapists, Respiratory Therapists and Nurses." Canadian Respiratory Journal 6, no. 6 (1999): 513–20. http://dx.doi.org/10.1155/1999/230141.

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OBJECTIVE: To assess the current tracheal and oropharyngeal suctioning practice variability within and among the professions of physical therapy, respiratory therapy and nursing.DESIGN: A mail survey of physical therapists, respiratory therapists and registered nurses who perform suctioning. The survey instrument consisted of questions about professional characteristics, clinical suctioning practice and sociodemographics.SETTING: The survey was restricted to professionals practising within the province of Ontario.PARTICIPANTS: Random samples (n=448) were drawn from membership of the regulatory boards of all three professions.MAIN RESULTS: Fifty-eight per cent of respondents returned completed questionnaires. There was large variation in reports of gloving procedure (eg, double clean: 26% for physical therapists, 5% for respiratory therapists, 55% for registered nurses, P<0.0001) and technique of catheter use (sterile, inline or clean, P<0.01). There was also discrepancy in the techniques used to minimize harmful effects, ie, prelubrication with gel (83% for physical therapists, 54% for respiratory therapists, 17% for registered nurses, P<0.0001), use of hyperinflation (12% of physical therapists, 25% of respiratory therapists, 39% of registered nurses never hyperinflate) and use of instillation (7% of physical therapists, 0% of respiratory therapists, 19% of registered nurses never instill). However, there was agreement about the routine application of hyperoxygenation (74% or more) and there was almost perfect agreement (99% or more) within and across the three professions that secretion removal was the main indication for suctioning.CONCLUSIONS: The results of this study indicate a wide variation in suctioning techniques among physical therapists, respiratory therapists and registered nurses. Comparisons among professions revealed inconsistencies in some areas, such as the use of in-line catheters, gloving procedures, prelubrication and hyperinflation.
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Grap, MJ, C. Glass, M. Corley, and T. Parks. "Endotracheal suctioning: ventilator vs manual delivery of hyperoxygenation breaths." American Journal of Critical Care 5, no. 3 (May 1, 1996): 192–97. http://dx.doi.org/10.4037/ajcc1996.5.3.192.

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BACKGROUND: Despite a large number of studies on endotracheal suctioning, there is little data on the impact of clinically practical hyperoxygenation techniques on physiologic parameters in critically ill patients. OBJECTIVE: To compare the manual and mechanical delivery of hyperoxygenation before and after endotracheal suctioning using methods commonly employed in clinical practice. METHODS: A quasi-experimental design was used, with twenty-nine ventilated patients with a lung injury index of 1.54 (mild-moderate lung injury). Three breaths were given before and after each of two suction catheter passes using both the manual resuscitation bag and the ventilator. Arterial pressure, capillary oxygen saturation, heart rate, and cardiac rhythm were monitored for 1 minute prior to the intervention to obtain a baseline, continuously throughout the procedure, and for 3 minutes afterward. Arterial blood gases were collected immediately prior to the suctioning intervention, immediately after, and at 30, 60, 120, and 180 seconds after the intervention. Data were analyzed with repeated measures analysis of variance. RESULTS: Arterial oxygen partial pressures were significantly higher using the ventilator method. Peak inspiratory pressures during hyperoxygenation were significantly higher with the manual resuscitation bag method. Significant increases were observed in mean arterial pressure during and after suctioning, with both delivery methods, with no difference between methods. Maximal increases in arterial oxygen partial pressure and arterial oxygen saturation occurred 30 seconds after hyperoxygenation, falling to baseline values at 3 minutes for both methods. CONCLUSION: Using techniques currently employed in clinical practice, these findings support the use of the patient's ventilator for hyperoxygenation during suctioning.
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Nitin Desai, Jyoti. "ASSESSMENT OF THE EFFECTIVENESS OT PTP ON KNOWLEDGE AND PRACTICE OT ENDOTRACHEAL TUBE SUCTIONING AMONG NURSING STUDENTS IN INTENSIVE CARE UNITS." International Journal of Advanced Research 8, no. 10 (October 31, 2020): 530–41. http://dx.doi.org/10.21474/ijar01/11878.

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A Quasi experimental study was conducted to assess the effectiveness of PTP on knowledge and practices of endotracheal suctioning among (46) nursing students posted in intensive care units with purposive sampling techniques. The objectives of the study were to assess the existing knowledge and practice of endotracheal tube suctioning, to evaluate effectiveness of PTP, to find association of pretest knowledge and practice score with selected variables. The major findings revealed that mean post knowledge score was higher than pre-test knowledge t value i.e. 2nd yearGNM had 12.2, 3rd year GNM had 12.1, and basic BSc had 7.8.With regards to practice, the pre-test and post-test analysis revealed that the mean post practice score was higher than pre-test t- value i.e. 2nd year GNM 16.8, 3rd year GNM 12.9, 2nd Basic BSc 10.2. Thus, the paired t- test result showed significant gain in knowledge (p<0.05)Statistical analysis using ANOVA test reveals that no demographic variable have significant association with pre-test knowledge and practice among nursing students regarding Endotracheal tube suctioning .Thus the study proved, planned teaching programme on knowledge and practice of Endotracheal tube suctioning was scientific, logical and effective strategy.
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Dissertations / Theses on the topic "Suctioning techniques"

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Degennaro, Joyce. "The efficacy of oral subglottic secretion suctioning to prevent ventilator-associated pneumonia." Honors in the Major Thesis, University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1251.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Nursing
Nursing
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Books on the topic "Suctioning techniques"

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Daicoff, Barbara Blue. EXAMINATION OF PHYSIOLOGIC RESPONSES TO ENDOTRACHEAL SUCTIONING TECHNIQUES (HYPERTENSION, PULMONARY ARTERIAL PRESSURE). 1993.

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2

Li Bassi, Gianluigi, and J. D. Marti. Chest physiotherapy and tracheobronchial suction in the ICU. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0121.

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The airway lining fluid is a biphasic layer covering the respiratory tract epithelium. It has antimicrobial and immunomodulatory properties, and it is formed by a gel-phase (mucus), and a low-viscosity inner layer (sol-phase) that provides lubrication for ciliary beating. Mucus is continuously cleared from the airways through the ciliated epithelium and via the two-phase gas–liquid flow mechanism (i.e. coughing). Mucus production in healthy subjects is approximately 10–100 mL/day. Whereas, mucociliary clearance rates range between 4 and 20 mm/min. Critically-ill, mechanically-ventilated patients often retain mucus. Several chest physiotherapy techniques are applied to promote mucus clearance in these patients. The role of chest physiotherapy in mechanically-ventilated patients is debated, due to the lack of evidence from well-designed clinical trials. Retained mucus is aspirated through tracheobronchial suctioning. Closed suctioning is beneficial in patients with severe lung failure and at risk of alveolar collapse upon ventilator disconnection.
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Marini, John J., and Paolo Formenti. Pathophysiology and prevention of sputum retention. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0119.

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Retention of airway mucus is one of the major problem that confronts post-operative and critically-ill patients, as well as the caregivers that address it. Retained secretions increase the work of breathing and promote hypoxaemia, atelectasis, and pneumonia. The airway-intubated patient is at particular risk of retaining mucus, as the presence of the tube interrupts normal flow of airway secretions toward the larynx by the mucociliary escalator and coughing effectiveness is degraded by a glottis that is stented open and cannot close effectively. Clearance of mucus is aided by using sufficient gas stream and total body hydration to reduce sputum viscosity and lubricate secretion plugs. Airway suctioning, a routine, but inherently traumatic experience for the patient, may clear the central airway, but leave peripheral airways unrelieved of their secretion burden. Prone positioning appears to confer an advantage regarding secretion drainage and clearance. Physiotherapy techniques may be useful in re-establishing and maintaining airway patency.
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Book chapters on the topic "Suctioning techniques"

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Clement, I. "Suctioning Techniques." In Basic Concepts on Nursing Procedures, 273. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10074_42.

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Clement, I. "Chapter-42 Suctioning Technique." In Jaypee's Gold Standard Mini Atlas Series: Histology, 273–74. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10417_42.

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Couloures, Kevin G. "Ventilation—Observation, Capnography, and Precordial Stethoscope." In The Pediatric Procedural Sedation Handbook, edited by Cheryl K. Gooden, Lia H. Lowrie, and Benjamin F. Jackson, 103–9. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190659110.003.0016.

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A variety of monitoring techniques can be used to ensure adequate ventilation during sedation. Three of the methods are direct observation, precordial/pretracheal stethoscope, and end-tidal CO2 monitoring. Direct observation is simple and effective but may miss subtle changes and is difficult when the room is darkened or the patient is covered. Precordial stethoscopes are frequently utilized during dental procedures and can help detect changes in respiration or the need for suctioning. MRI-compatible versions are available, but the practitioner needs to be within 4 feet of the patient. End-tidal CO2 monitoring gives the most information about the adequacy of ventilation but requires costly equipment and placement of a specialized nasal cannula or mask on the child’s face. The benefit of utilizing any of these modalities is that changes in ventilation will precede changes in oxygenation. Hence, early recognition of change can help prevent respiratory compromise.
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