Letchford Emma, Bench Suzanne
Staff Nurse, Post-Anaesthetic Care Unit, Royal Brompton Hospital, London.
Associate Professor, School of Health and Social Care, London South Bank University.
Br J Nurs. 2018 Jan 11;27(1):13-18. doi: 10.12968/bjon.2018.27.1.13.
to identify the most effective suctioning technique for the prevention of ventilator-associated pneumonia.
ventilator-associated pneumonia is an important hospital-acquired infection associated with increased mortality and morbidity.
a rapid review included an electronic database search of articles published between January 2009 and March 2016. The quality of the seven included studies was appraised and data were subjected to tabular and narrative syntheses.
closed suction systems have no clear advantage over open suction, but may better prevent late-onset ventilator-associated pneumonia. Subglottic secretion drainage reduces ventilator-associated pneumonia incidence.
open versus closed suction combined with subglottic secretion drainage requires ongoing research. Alongside this, policy guidance, education, behavioural and managerial strategies must be implemented.
确定预防呼吸机相关性肺炎最有效的吸痰技术。
呼吸机相关性肺炎是一种重要的医院获得性感染，与死亡率和发病率增加相关。
一项快速综述包括对2009年1月至2016年3月发表的文章进行电子数据库检索。对纳入的七项研究的质量进行评估，并对数据进行表格和叙述性综合分析。
密闭吸痰系统与开放吸痰相比没有明显优势，但可能更好地预防迟发性呼吸机相关性肺炎。声门下分泌物引流可降低呼吸机相关性肺炎的发生率。
开放吸痰与密闭吸痰联合声门下分泌物引流仍需进一步研究。与此同时，必须实施政策指导、教育、行为和管理策略。
