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Endotracheal Suctioning - Example Papers

Endotracheal Suctioning

is a necessary and vital procedure done on patients who have an established artificial airway. The goal of is to clear secretions from the patient’s airway and to improve gas exchange (Ackerman, 1993). The instillation of normal saline prior to is a common practice of nurses. Reasons for such practice are varied. One such reason is to loosen and dilute thick, tenacious secretions in the patient’s respiratory tract so that secretions become mobilized and are thus easier to remove during suctioning. Furthermore, such normal saline instillation (NSI) is used to elicit a cough from the patient in hopes of mobilizing secretions as well. Finally, normal saline is used to lubricate the ...

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by that volume of blood” (p. 1398). Ackerman (1993), primarily concentrated on the measurement of SpO2 via a pulse oximeter monitor was the focus of the review. Such research will aid nurses and respiratory therapists with their decision of choosing whether to use normal saline, a subject that is often unconsidered. In research by Schwenker & Gift (1998), it was proven that healthcare workers are unsure or are unaware that adverse effects may exist when using normal saline prior to suctioning. Schwenker & Gift (1998) points out that NSI is a common practice used by nurses and respiratory therapists and that both sets of caregivers believed that such instillation had beneficial effects on the patient. Schwenker & Gift further recommend that literature regarding research reflecting the adverse effects be accessible and utilized among all who provide such care. Finally, Schwenker & Gift (1998) refer to the fact that such instillation is a common part of the policy and ...

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to decrease over time. The lowest SpO2 measurements were recorded five minutes after suctioning. These results further strengthen the argument that NSI has a detrimental effect on oxygenation.
Ackerman and Mick (1998) investigated the effects of NSI before suctioning on SpO2, heart rate, and blood pressure. As part of the study protocol, no hyperinflation or preoxygenation breaths were given to the subjects prior to suctioning. A five milliliter bolus of normal saline was given prior to suctioning in the experimental group. The SpO2 for the experimental and control groups dropped immediately after suctioning. The group of subjects that received NSI prior to suctioning had a marked ...

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PAPER DETAILS

Added: 10/30/2004 05:42:18 AM
Category: Health & Medicine
Type: Premium Paper
Words: 2454
Pages: 9

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