Wainwright S P, Gould D
Intensive Crit Care Nurs. 1996 Oct;12(5):303-8. doi: 10.1016/s0964-3397(96)80801-9.
Endotracheal suctioning is a routine but potentially dangerous nursing procedure. The research literature documenting approaches to minimising the complications of endotracheal suctioning in adults with severe head injuries is reviewed. Hyperoxygenation, hyperventilation, hyperinflation, normal saline instillation and the effects of endotracheal suctioning on intracranial pressure and cerebral perfusion pressure are examined. Recommendations for an evidence-based endotracheal suctioning protocol are made.
气管内吸痰是一项常规但具有潜在危险的护理操作。本文回顾了关于将重度颅脑损伤成年患者气管内吸痰并发症降至最低的方法的研究文献。研究了高氧通气、过度通气、肺过度充气、生理盐水滴注以及气管内吸痰对颅内压和脑灌注压的影响。并提出了基于证据的气管内吸痰方案的建议。
