Sontakke Nikhil G, Sontakke Mayuri G, Rai Naveen K
Health Sciences, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Accident and Trauma Care Technology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Jul 27;15(7):e42579. doi: 10.7759/cureus.42579. eCollection 2023 Jul.
Airway suctioning is routinely performed in the majority of care circumstances, including acute care, subacute care, home-based settings, and long-term care. Using an artificial airway to suction the patient allows for the mobilization and evacuation of secretions. When a patient can't independently remove all of the secretions from their respiratory tract, suction is used. This can occur when the body produces excessive secretion or it is not eliminated quickly enough, causing the respiratory system's upper and lower respiratory secretions to accumulate. Airway blockage and inadequate breathing may result from this. Ultimately, this leads to a shortage of oxygen and carbon dioxide from the air, both of which are necessary for ideal cellular activity. Artificial airway suctioning is one of the most crucial components of airway care and a core competency for medical professionals trying to ensure airway patency. Artificial airway suctioning is a standard treatment carried out every day globally and is frequently done in both outpatient and inpatient patients. Therefore, specialists must know the safest and most efficient ways to perform surgery and any potential side effects. In ventilated infants and children, the removal of obstructive secretions by endotracheal suctioning is frequently done. It is unknown how suctioning affects the mechanics of breathing. This study used a prospective observational clinical design to examine the immediate impact of airway resistance in endotracheal suctioning, tidal volume, and dynamic lung regulation in mechanically ventilated adult patients and mechanically ventilated pediatric patients. The preparation, process, and indications for intraoperative fusion treatment in various circumstances are covered in this systematic review.
在大多数护理环境中,包括急性护理、亚急性护理、家庭护理和长期护理,气道吸引都是常规操作。使用人工气道对患者进行吸引可促进分泌物的排出。当患者无法自主清除呼吸道中的所有分泌物时,就需要进行吸引。这可能发生在身体分泌过多或分泌物清除不够快时,导致呼吸系统的上、下呼吸道分泌物积聚。这可能会导致气道阻塞和呼吸不足。最终,这会导致空气中氧气和二氧化碳短缺,而这两种气体都是理想细胞活动所必需的。人工气道吸引是气道护理的最重要组成部分之一,也是试图确保气道通畅的医学专业人员的核心能力。人工气道吸引是全球每天都在进行的标准治疗,门诊患者和住院患者都经常进行。因此,专家必须了解最安全、最有效的手术方法以及任何潜在的副作用。在机械通气的婴儿和儿童中,经常通过气管内吸引来清除阻塞性分泌物。目前尚不清楚吸引对呼吸力学有何影响。本研究采用前瞻性观察性临床设计,以研究气管内吸引对机械通气成年患者和机械通气儿科患者气道阻力、潮气量和动态肺调节的即时影响。本系统评价涵盖了各种情况下术中融合治疗的准备、过程和适应症。