新生儿机械通气患者气道内吸引的最佳证据总结

doi:10.16460/j.issn1008-9969.2022.24.038

摘要/Abstract

摘要： 目的整合及评价机械通气新生儿气道内吸引的证据,为临床提供循证依据。方法检索UpToDate、BMJ、Cochrane Library、JBI、NGC、NICE、RNAO、CINAHL、PubMed、EMbase、Scopus、万方、中国知网、美国呼吸治疗协会及欧洲呼吸学会官方网站。由2名经过专业循证培训的评价员独立进行质量评价并结合专家意见形成证据总结。结果共纳入11篇文献,包括指南4篇、推荐实践1篇、证据总结2篇、系统评价4篇,共汇总了吸引指征、吸引准备、吸引实施、吸引整理及非常规性操作5个维度共20条最佳证据。结论本研究为临床医护人员进行新生儿气道内吸引规范化操作提供了循证依据,旨在提升新生儿气道管理水平和护理质量。

关键词: 新生儿, 机械通气, 气道内吸引, 证据总结

Abstract: Objective To extract, integrate and evaluate evidence of endotracheal suctioning in newnates with mechanical ventilation, and provide evidence-based reference for clinical neonatal airway management. Methods We retrieved literature in databases including UpToDate, BMJ, Cochrane Library, JBI, NGC, NICE, RNAO, CINAHL, PubMed, Embase, Scopus, Wanfang Data, CNKI, the official website of American Association for Respiratory Care and European Respiratory Society. Quality evaluation of eligible literature was conducted by two researchers with evidence-based training independently and evidence summary was performed combined with the opinions of experts. Results Eleven articles were collected, including 4 guidelines, 1 recommended practice, 2 evidence summaries and 4 systematic evaluations. A total of 20 pieces of best evidence were summarized in 5 dimensions, including suction indication, suction preparation, suction implementation, suction disposition and unconventional operation. Conclusion The study provides evidence-based reference for standardized neonatal endotracheal suctioning, thus to improve neonatal airway management and nursing quality.

Key words: neonates, mechanical ventilation, endotracheal suctioning, evidence summary

中图分类号:

R473.72

唐帆, 李亚玲, 罗曼月, 王兆北, 黎张双子, 蔡鹏. 新生儿机械通气患者气道内吸引的最佳证据总结[J]. 护理学报, 2022, 29(24): 38-42.

TANG Fan, LI Ya-ling, LUO Man-yue, WANG Zhao-bei, LI Zhang-shuangzi, CAI Peng. Best Evidence Summary for Endotracheal Suctioning in Neonates with Mechanical Ventilation[J]. Journal of Nursing, 2022, 29(24): 38-42.

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