Updating the Evidence Base for Suctioning Adult Patients: A Systematic Review

Overend, Tom J.; Anderson, Chris K.; Brooks, Dina; Cicutto, Lisa; Keim, Michael A.; McAuslan, Debra; Nonoyama, Mika

doi:10.1155/2009/872921

Cited by 38 publications

(33 citation statements)

References 44 publications

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“…However, prior evidence has been inconclusive with respect to this hypothesis. Previous systematic reviews and meta-analyses of randomized trials have concluded that use of CTSS was not associated with a reduced incidence of VAP compared with use of OTSS [13,[15][16][17][18][19][20]. Some also suggested a potential publication bias.…”

Section: Discussionmentioning

confidence: 99%

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Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis

et al. 2014

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Section: Discussionmentioning

confidence: 99%

“…Previous systematic reviews and metaanalyses have concluded that CTSS use has no benefit over OTSS use in preventing VAP [13,[15][16][17][18][19][20]. However, they were based on a relatively small number of trials, and some even suggested a potential publication bias [13,20].…”

Section: Introductionmentioning

confidence: 99%

Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis

et al. 2014

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“…Studies have shown no differences in outcomes between open and closed suctioning methods. 24 Giving extra oxygen for 30 to 60 seconds before ETT suctioning is a recommended practice, 23 yet routine use of the procedure was not reported by 14% of the respondents. Although RCPs reported giving extra oxygen via the ventilator more often than RNs did, the difference between the 2 groups was not significant.…”

Section: Suctioning Practicesmentioning

confidence: 99%

“…Using hyperinflation to increase oxygen saturation is not included in the AARC guidelines 23 and is not supported by systematic reviews. 24 Hyperinflation may be used as a lung-recruitment maneuver 23 and may decrease airway resistance in VAP. 24 Instillation of physiological saline during ETT suctioning has not been recommended for many years, yet the practice continues.…”

Section: Open-ended Commentsmentioning

confidence: 99%

“…24 Hyperinflation may be used as a lung-recruitment maneuver 23 and may decrease airway resistance in VAP. 24 Instillation of physiological saline during ETT suctioning has not been recommended for many years, yet the practice continues. [25][26][27] Instillation of physiological saline may enhance removal of secretions by stimulating a cough reflex, and a recent study 28 indicated a decrease in VAP when physiological saline was used.…”

Section: Open-ended Commentsmentioning

confidence: 99%

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Comparison of Airway Management Practices Between Registered Nurses and Respiratory Care Practitioners

Sole

Bennett

2014

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Describe current practices for airway management of intubated patients. 2. Determine how practices differ between registered nurses and respiratory care practitioners. 3. Evaluate how knowledge of current practices can help facilitate evidence-based practices to optimize care. Objectives To describe current practices for airway management of intubated patients and determine if practices differ between registered nurses and respiratory care practitioners. Methods A descriptive, comparative design was used. Registered nurses and respiratory care practitioners who provided direct care to intubated patients receiving mechanical ventilation were recruited to complete an online survey of self-reported practices. Results A total of 85 participants completed the survey. Most were experienced caregivers with a bachelor's degree and certification or registration in their field. Selected practices have improved, including increasing oxygen saturation before endotracheal suctioning, maintaining pressure of endotracheal tube cuffs, and providing oral hygiene and suctioning. The practices of registered nurses and respiratory care practitioners differed in many ways. The nurses assumed responsibility for oral antisepsis, whereas the respiratory care practitioners managed the endotracheal tube. The 2 groups shared responsibility for oral and endotracheal suctioning. Knowledge of current guidelines for endotracheal suctioning was lacking. Conclusions Practices in airway management have improved, but opportunities exist to develop shared policies and procedures based on current evidence.

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Assessing the inter‐rater and intra‐rater reliability of the Physical Therapy Competence Assessment for Airway Suctioning (PT‐CAAS)

Miller

Brooks

O’Brien

et al. 2022

Physiotherapy Res Intl

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Background and Purpose:The Physical Therapy Competence Assessment for Airway Suctioning (PT-CAAS) is a recently developed measure to assess the clinical competence of physiotherapists who perform airway suctioning with adults. The purpose of this study was to assess the inter-rater and intra-rater reliability of the PT-CAAS.Methods: Scoring rules were developed through expert consultation. Reliability was then assessed using nine videos of suctioning performed in a simulated learning environment. A repeated measures design was used, with two replicate sets of measurements made by each participant for all videos. Data were analyzed using a repeated measures model for the concurrent assessment of inter-rater and intrarater reliability. Participants were physiotherapists with suctioning experience.Results: Twenty physiotherapists completed initial scoring and re-scoring for all nine videos; their data were included in the analysis. Intraclass correlation coefficients (ICCs) for inter-rater reliability ranged from 0.

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Updating the Evidence Base for Suctioning Adult Patients: A Systematic Review

Abstract: While new evidence continues to be varied in strength, and is still lacking in some areas of suctioning practice, the evidence base has improved since 2001. Members of the health care team should incorporate this evidence into their practice.

Cited by 38 publications

References 44 publications

Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis

Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis

Comparison of Airway Management Practices Between Registered Nurses and Respiratory Care Practitioners

Assessing the inter‐rater and intra‐rater reliability of the Physical Therapy Competence Assessment for Airway Suctioning (PT‐CAAS)

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