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A study on the safety of Nursing Performance Audit endotracheal suctioning

气管内吸痰护理绩效审核的安全性研究

基本信息

批准号：
07807216
负责人：
OKASAKI Sumiko
金额：
$ 1.22万
依托单位：
Kitasato University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1995
资助国家：
日本
起止时间：
1995 至 1997
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07807216/
关键词：
endotracheal suctioning pressure within suction Nursing Performance Audit 喀痰

项目摘要

Nursing Performance Audit A study on the safety of endotracheal suctioningThe purpose of this study was to reevaluate endotracheal suctioning which is regularly performed under high pressure in the clinical setting, to determine techniques which are safe, effective, and comfortable for the patient.In a preliminary study, the relationship between pressure within the suction tube and suction volume was examined using simulated sputum. Additionally, quantities of ciliated columnar cells in self-expectorated sputum were estimated in healthy volunteers. As the first part of this investigation, ciliated columnar cells were determined in sputum aspirated at minimum and maximum suction pressures reported in literature. Secondly, rats were subjected to direct suction at high suction pressure. And last, case studies were made on selected cases requiring endotracheal suctioning. The patients were given high pressure suction, and the aspirated phlegm was subjected to microscopical analysis.Integrating results from the investigation above indicated that it is possible to perform endotracheal suctioning at high pressure without causing mucosal damage to the respiratory tract, provided careful consideration is given to the state of the patient in addition to strict control of the various conditions associated with the procedure itself.

护理绩效审核气管内吸痰安全性的研究本研究的目的是重新评估在临床环境中经常在高压下进行的气管内吸痰，以确定对患者安全、有效和舒适的技术。在初步研究中，使用模拟痰检查吸痰管内压力与吸痰量之间的关系。此外，在健康志愿者中估计了自痰中纤毛柱状细胞的数量。作为本研究的第一部分，在文献报道的最小和最大抽吸压力下抽吸的痰中确定纤毛柱状细胞。其次，大鼠在高抽吸压力下进行直接抽吸。最后，选择需要气管内吸痰的病例进行病例研究。对患者进行高压吸痰，并对吸痰进行显微镜分析，综合上述研究结果，可以得出结论：只要仔细考虑患者的状况，严格控制与吸痰相关的各种条件，就可以在不损伤呼吸道粘膜的情况下进行高压吸痰。