Gilbert M
Children's Cardiac Intensive Care, Leeds General Infirmary.
Paediatr Nurs. 1999 Feb;11(1):14-7.
Endotracheal suction (ETS) is a common method used to remove broncho-pulmonary secretions. This study aimed to investigate whether, and how, nurses in the paediatric intensive care environment assess the need for endotracheal suction. Overt, non-participant observation and interviews were used to collect data from 12 nurses on four paediatric intensive care units. The large majority of episodes of ETS observed were performed in response to an identified clinical need based on changes in a variety of clinical signs and patient behaviour. This study highlights the complex nature of nurses' assessment of the need for ETS and has implications for training and education of nursing staff.
气管内吸痰（ETS）是一种用于清除支气管 - 肺部分泌物的常用方法。本研究旨在调查儿科重症监护环境中的护士如何以及是否评估气管内吸痰的必要性。采用公开的非参与性观察和访谈从四个儿科重症监护病房的12名护士中收集数据。观察到的绝大多数气管内吸痰情况是基于各种临床体征和患者行为的变化，针对已确定的临床需求而进行的。本研究突出了护士对气管内吸痰必要性评估的复杂性，并对护理人员的培训和教育具有启示意义。
