Favretto Débora Oliveira, Silveira Renata Cristina de Campos Pereira, Canini Silvia Rita Marin da Silva, Garbin Livia Maria, Martins Fernanda Titareli Merízio, Dalri Maria Célia Barcellos
Instituto de Ciências Exatas e Naturais, Universidade Federal de Mato Grosso, Campus Universitário de Rondonópolis, Brazil.
Rev Lat Am Enfermagem. 2012 Sep-Oct;20(5):997-1007. doi: 10.1590/s0104-11692012000500023.
identify and analyze in the literature the evidence of randomized controlled trials on care related to the suctioning of endotracheal secretions in intubated, critically ill adult patients undergoing mechanical ventilation.
the search was conducted in the PubMed, EMBASE, CENTRAL, CINAHL and LILACS databases. From the 631 citations found, 17 studies were selected.
Evidence was identified for six categories of intervention related to endotracheal suctioning, which were analyzed according to outcomes related to hemodynamic and blood gas alterations, microbial colonization, nosocomial infection, and others.
although the evidence obtained is relevant to the practice of endotracheal aspiration, the risks of bias found in the studies selected compromise the evidence's reliability.
在文献中识别并分析关于接受机械通气的插管成年重症患者气管内分泌物吸引护理的随机对照试验证据。
在PubMed、EMBASE、CENTRAL、CINAHL和LILACS数据库中进行检索。从找到的631篇文献中，选取了17项研究。
确定了与气管内吸引相关的六类干预措施，并根据与血流动力学和血气改变、微生物定植、医院感染及其他方面相关的结果进行了分析。
尽管所获得的证据与气管内吸引的实践相关，但所选研究中发现的偏倚风险损害了证据的可靠性。
