Endotracheal Tube Suctioning in the Newborn: A Review of the Literature
Endotracheal Tube Suctioning in the Newborn: A Review of the Literature
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DOI：
10.1053/j.nainr.2006.03.006
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发表时间：
2006-06-01
期刊：
影响因子：
--
通讯作者：
Clifton-Koeppel, Robin
中科院分区：
文献类型：
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作者：
Clifton-Koeppel, Robin
维持气管插管（ETT）通畅对辅助通气患者的有效通气和氧合至关重要。在新生儿重症监护室经常进行ETT抽吸，但在这一人群中尚未得到广泛的研究。然而，这种手术对新生儿的有害影响是有据可查的。减少这些影响的方法包括：仅在需要时进行吸引，而不是使用常规计划，浅（或测量）吸引以避免对隆突造成创伤，以及在整个过程中保持呼吸机压力的封闭系统进行吸引。总的来说，指导新生儿气管插管相关实践的科学证据有限，单位方案和临床医生的做法各不相同。本文将回顾目前关于新生儿ETT吸痰的文献，并总结最佳实践的建议。(C) 2006爱思唯尔公司版权所有。
Maintaining the patency of the endotracheal tube (ETT) is crucial to effective ventilation and oxygenation of the patient receiving assisted ventilation. Performed frequently in the NICU, ETT suctioning has not received extensive study in this population. However, the deleterious effects of this procedure in the newborn are well documented. Methods to reduce these effects include suctioning only as needed instead of using a routine schedule, shallow (or measured) suctioning to avoid trauma to the carina, and closed systems for suctioning in which ventilator pressure is mostly maintained throughout the procedure. Overall, there is limited scientific evidence to guide practice related to ETT suctioning in the newborn, and unit protocols and clinician practices vary. This article will review the current literature regarding ETT suctioning in the newborn and summarize recommendations for best practice. (C) 2006 Elsevier Inc. All rights reserved.