A Systematic Review: Effectiveness of Implementing Guidelines for Suction of Adults with an Artificial Airway

Abstract

Endotracheal suctioning is a component of bronchial hygiene therapy and mechanical ventilation. It involves the mechanical aspiration of pulmonary secretions from a patient with an artificial airway in place. The procedure includes patient preparation, suctioning event(s), and follow-up care. Therefore, a proper guideline for suctioning to avoid side-effects should be promoted. The objective of this systematic review was to study the effectiveness of guidelines of suction for adults with an artificial airway. Information was searched systematically in order to find out the Thai researches which were published and also non-published during the years 2001 to 2015, inclusively. Statistic instruments were: 1) screening research form in accordance with the criteria, 2) research evaluation form, and 3) recording form for extracted data. Sources of queries included Thai Thesis Database, University research database, Research center, Chiang Mai University research database, and Mahidol University database. Data analysis instruments applied to this research were frequency distribution, and percentage. Meta-analysis method was applied through a computer program, namely Review Manager Version 5.3, to analyze the research which had sufficient statistic data about the effectiveness of guidelines of suctioning adults with an artificial airway.

The results of the research were as following: 1) in the intubated sampling patients, healed, based on the guidelines of suction for adult, felt less uncomfortable than the other patients, 2) in the intubated sampling patients, healed, based on the guidelines of suction for adult, the rate of oxygen saturation in blood was in average arterial blood pressure, pulse rate and respiratory rate, 3) the patients, healed, based on the guidelines of suction for adults, Trauma of the bronchial mucosa and suffered less than the other patients, and 4) the intubated sampling patients, healed, based on the guidelines of suction for adults, had systolic pressure change, respiratory pressure change. However, there was no change of the capacity of the air breathed each time between the patient who was healed, based on the guidelines of suction for adults and the other patients. Based on this systematic review, we suggest that the proper guidelines of suction for the adult should be promoted to the related sections to set up the standard which will be benefit to critical patients who need proper guidelines for suction.In addition, following up the appropriate effect after implementing the guidance for example in term of expense and the duty of the nurse is suggested.