Endotracheal suction in intubated critically ill adult patients undergoing mechanical ventilation: a systematic review

Revista Latino-Americana de Enfermagem

Débora Oliveira Favretto¹  Renata Cristina De Campos Pereira Silveira²  Silvia Rita Marin Da Silva Canini²  Livia Maria Garbin²  Fernanda Titareli Merízio Martins²  Maria Célia Barcellos Dalri² 

[1] ,Universidade Federal de Mato Grosso Instituto de Ciências Exatas e Naturais ,Brazil

关键词: Nursing Care;    Critical Care;    Suction;    Intubation;    Intratracheal;    Intensive Care Units;    Cuidados de Enfermagem;    Cuidados Críticos;    Sucção;    Intubação Intratraqueal;    Unidades de Terapia Intensiva;    Atención de Enfermería;    Cuidados Críticos;    Succión;    Intubación Intratraqueal;    Unidades de Terapia Intensiva;   

DOI  :  10.1590/S0104-11692012000500023

来源: SciELO

【 摘 要 】

AIM: identify and analyze in the literature the evidence of randomized controlled trials on care related to the suctioning of endotracheal secretions in intubated, critically ill adult patients undergoing mechanical ventilation. METHOD: the search was conducted in the PubMed, EMBASE, CENTRAL, CINAHL and LILACS databases. From the 631 citations found, 17 studies were selected. RESULTS: Evidence was identified for six categories of intervention related to endotracheal suctioning, which were analyzed according to outcomes related to hemodynamic and blood gas alterations, microbial colonization, nosocomial infection, and others. CONCLUSIONS: although the evidence obtained is relevant to the practice of endotracheal aspiration, the risks of bias found in the studies selected compromise the evidence's reliability.

【 授权许可】

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