Tracheal cuff pressure change before and after the performance of nursing care
Tracheal cuff pressure change before and after the performance of nursing care
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DOI：
10.1590/0034-7167-2016-0486
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发表时间：
2017-12-01
影响因子：
1.3
通讯作者：
Werneck, Alexandre Lins
中科院分区：
文献类型：
--
作者：
Beccaria, Lúcia Marinilza;Doimo, Thays Marley Antonio;Werneck, Alexandre Lins
目的：验证口腔卫生前后气管套囊压力、床头抬高0°、30°、60°、体位变化、气管插管抽吸、卧床洗澡等情况的变化。方法：研究样本由 88 名患者组成。从 2014 年 7 月到 9 月，我们进行了 3,696 次检查。 结果：分析了 7 个护理上午的压力值。其中六项在护理程序前后发生了显着变化。下午，所提供的医疗服务有五处发生了变化，而晚上，只有两处发生了变化。大多数压力值都低于推荐值。结论：医疗保健前后存在差异，表现为袖带压力的变化。在三个工作班次中，床上洗澡和床头抬高 30 度是对压力值影响最大的。因此，每个工作班次至少测量两次袖带压力，最好是在沐浴后测量。
Objective: Verify the changes of endotracheal cuff pressure before and after oral hygiene, head-of-bed elevation at 0 degrees, 30 degrees, and 60 degrees, change in body position, aspiration of the endotracheal tube, and in-bed bathing. Method: The study sample was composed of 88 patients. We performed 3,696 checks from July to September 2014. Results: Pressure values were analyzed in seven nursing care in the morning. Six of them were significantly altered before and after nursing procedure. In the afternoon, five of the health care provided were altered, and in the evening, only two. Most of pressure values were below recommended. Conclusion: There were differences before and after health care provided, showing changes in cuff pressure. In-bed bathing and head-of-bed elevation at 30 degrees were the ones that most altered pressure values in the three working shifts. Therefore, it is necessary to measure cuff pressure at least twice per working shift, preferably after bathing.