Endotracheal suctioning guideline of intubated adults
Keywords:suctioning, guideline, endotracheal tube, adults
Endotracheal suctioning is an essential nursing activity to provide adult patient with sufficient oxygen supply and prevent airway obstruction. However, the inefficient endotracheal suctioning may lead to complications. The objective of this article was to review the endotracheal suctioning practice guideline for nurses or health care providers in order to understand and can apply it appropriately for each and every individual practice context. According to the article review, the endotracheal suctioning practice guideline was divided into 3 phases. 1) Pre-suctioning phase comprised of nursing assessment of clinical indications, providing information for the patients and relatives, positioning before suctioning, using sterile technique, selection of the suction catheter, and supplying oxygen. 2) Suctioning phase comprised of suctioning in the mouth before suctioning in the endotracheal tube, the appropriate pressure level, the depth of suction catheter, the duration and the frequency of suctioning, and supplying high concentration oxygen. 3) Post-suctioning phase comprised of supplying oxygen after suctioning, management of used medical appliance, and the evaluation of the patient after suctioning. In each phase of suctioning, nurses or health care providers can apply these practices appropriately with individual practice context in order to provide safe and efficient endotracheal suctioning for intubated adult patient to prevent the complications.
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