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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (24): 38-42.doi: 10.16460/j.issn1008-9969.2022.24.038

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Best Evidence Summary for Endotracheal Suctioning in Neonates with Mechanical Ventilation

TANG Fan1, LI Ya-ling1,2a, LUO Man-yue1, WANG Zhao-bei2b, LI Zhang-shuangzi2c, CAI Peng2a   

  1. 1. School of Nursing, Guizhou Medical University, Guiyang 550025, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of Hepatobiliary Surgery; 2c. Dept. of Critical Care Medicine, Affiliated Hospital of Guizhou Medical University, Guiyang 550004,China
  • Received:2022-07-14 Online:2022-12-25 Published:2023-01-13

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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

CLC Number: 

  • R473.72
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