Eficacia sobre la instilación de suero fisiológico endotraqueal, previo a la aspiración de secreciones

Efficacy on the instillation of serum physiological endotracheal, prior to Secretions aspiration

  • Irene López Martín Enfermera en Unidad de Cuidados Intensivos del Hospital Universitario Clínico San Carlos. Madrid
Palabras clave: Tubos endotraqueales, secreciones respiratorias, secreciones de aspiración, ventilación mecánica, instilación de solución salina normal
Key-words: Endotracheal tubes, respiratory secretions, aspiration secretions, mechanical ventilation, normal saline instillation

Resumen

Abstract

Bibliografía

1. Cordón Llera F. Actuación en UCI sobre patologías cardiacas, respiratorias y digestivas. 5ªedición. Jaén: Logoss; 2010.
2. Salvadores Fuentes P, Sánchez Sanz E, Carmona Monge FJ. Enfermería en Cuidados críticos. 1ª Edición. Madrid: Editorial Universitaria Ramón Areces; 2011.
3. Higginson R, Parry A. Emergency airway management: common ventilation techniques. Br J Nurs. 2013; 22 (7): 366-371.
4. Kane C, York NL. Understanding the alphabet soup of mechanical ventilation. Dimens Crit Care Nurs. 2012; 31 (4): 217-222.
5. Ntoumenopoulos G, Shannon H, Main E. Do commonly used ventilator settings for mechanically ventilated adults have the potential to embed secretions or promote clearance? Respir Care. 2011; 56 (12): 1887-1892
6. Brunner LS, Smeltzer SCC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth’s textbook of medical-surgical nursing. New York: Lippincott Williams & Wilkins; 2010.
7. Black JM, Hawks JH. Medical-Surgical Nursing: Clinical Management for Positive Outcomes: Saunders. 8ª Edición. Canadá: Elsevier; 2009.
8. Bailey C, Kattwinkel J, Teja K, Buckley T. Shallow versus deep endotracheal suctioning in young rabbits: Pathologic effects on the tracheobronchial wall. Pediatrics. 1988; 82(5):746-751.
9. Fisher BJ, Carlo WA, Doershuk CF. Fetus, newborn, child, adolescent Pulmonary physiology. 2ª Edición. Philadelphia: Lea & Febiger; 1990.
10. Chiappero R. Capítulo10: Cuidados de la vía aérea en el paciente crítico. En Comité de Vía aérea e Interfaces de la Sociedad argentina de Terapia Intensiva. Vía aérea. Manejo y control Integral. Argentina: Editorial Médica Panamericana SA; Abril 2009. 181-223.
11. Guglielminotti J, Desmonts J, Dureuil B. Effects of tracheal suctioning on respiratory resistances in mechanically ventilated patients. Chest 1998; 113(5):1335-1338.
12. Favretto DO, Silveira RCdCP, Canini SRMdS, Garbin LM, Martins FTM, Dalri MCB. Endotracheal suction in intubated critically ill adult patients undergoing mechanical ventilation: a systematic review. Revist latino-americana de enfermagem. 2012; 20(5):997- 1007.
13. Pedersen CM, Rosendahl-Nielsen M, Hjermind J, Egerod I. Endotracheal suctioning of the adult intubated patient— What is the evidence? Intensive and Critical Care Nursing. 2009; 25(1):21-30.
14. American Association of Respiratory Care - AARC. AARC clinical practice guideline: endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. Respir Care. 2010; 55(6):758- 64.
15. Pedersen CM, Rosendahl-Nielsen M, Hjermind J, Egerod I. Endotracheal suctioning of the adult intubated patient. What is the evidence? Intensive Crit Care Nurs. 2009; 25(1):21-30.
16. Barnett M. Back to basics: caring for people with a tracheostomy. Nurs Residential Care. 2012; 14 (8): 390.
17. Casado San Juán E, García López A. Aspiración de secreciones en pacientes con vía aérea artificial. Vol 1. Protocolo específico de Unidad de Cuidados Intensivos hospital clínico San Carlos. Madrid, 2008.
18. O'Neal PV, Grap MJ, Thompson C, Dudley W. Level of dyspnoea experienced in mechanically ventilated adults with and without saline instillation prior to endotracheal suctioning. Intensive Crit Care Nurs. 2001; 17(6): 356-63.
19. Subirana M, Solá I, Garcia JM, Laffaire E, Benito S. Closed tracheal suctions systems versus open tracheal systems for mechanically ventilated adult patients (Protocol for a Cochrane Review). 1 Edición. Chichester, UK: John Wiley & Sons, Ltd; 2004.
20. Rogge J et al Effectiveness of oxygen concentration of less than 100% before and after endotracheal suction in patients with chronic obstructive pulmonary disease. Heart and Lung. 1989; 18(1): 64 – 67.
21. Pederson CM, Rosendahl-Nielsen M, Hjermind J, Egerod I. Endotracheal suctioning of the adult intubated patient–what is the evidence? Intensive Crit Care Nurs. 2009; 25(1):21-30.
22. Christensen R, Henry E, Eggert L, et al. A low-sodium solution for airway care: results of a multicenter trial. Respir Care. 2010; 55 (12): 1680-1685.
23. Reeve JC, Davies N, Freeman J, O’Donovan B. The use of normal saline instillation in the intensive care unit by physiotherapists: a survey of practice in New Zealand NZ Journal of Physiotherapy. 2007 Nov; 35 (3): 119-125.
24. Hyunsoo O, Whasook S. A meta-analysis of the effects of various interventions in preventing endotracheal suction-induced hypoxemia. J Clin Nurs. 2003; 12(6):912-924.
25. Van de Leur JP, Zwaveling JH, Loef BG, Van der Schans CP. Endotracheal suctioning versus minimally invasive airway suctioning in intubated patients: a prospective randomised controlled trial. Intensive Care Med. 2003; 29(3):426-432.
26. Giakoumidakis K, Kostaki Z, Patelarou E, Baltopoulos G, Brokalaki H. Oxygen saturation and secretion weight after endotracheal suctioning. Br J Nurs. 2011 Nov 24-Dec 7; 20(21):1344-51.
27. Caruso P, Denari S, Ruiz S, Demarzo SE, Deheinzelin D. Saline instillation before tracheal suctioning decreases the incidence of ventilatorassociated pneumonia. Crit Care Med. 2009; 37 (1): 32-38.
28. Caparros AC. Mechanical ventilation and the role of saline instillation in suctioning adult intensive care unit patients: an evidence-based practice review. Dimens Crit Care Nurs. 2014 Jul-Aug; 33(4):246-53
29. Moore T. Suctioning techniques for the removal of respiratory secretions. Nurs stand. 2003; 18 (9): 47- 53.
30. Sedigheh I, Hossein R. Normal saline instillation with suctioning and its effect on oxygen saturation, heart rate, and cardiac rhythm. International Journal of Nursing Education Year. 2011; 3(1): 42-44.
31. Schmollgruber S, J C Bruce, J C Rachidi, P J Becker. The effect of normal saline instillation on cardiorespiratory parameters in intubated cardiothoracic patients. S Afr J Crit Care. 2014; 30 (1):22-27.
32. Hagler DA, Traver GA. Endotracheal saline and suction catheters: sources of lower airway contamination. Am J Crit Care. 1994 Nov; 3(6):444- 447.
33. Mei-Yu L, Shu-Hua C, Yi-Hui S. Reducing ventilatorassociated pneumonia (VAP) by not using instillation saline before suctioning. J Nurs Healthc Res. 2012; 8 (4): 325-331
34. Ayhan H, Tastan S, Iyigun E, Akamca Y, Arikan E, Sevim Z. Normal saline instillation before endotracheal suctioning: "What does the evidence say? What do the nurses think?": Multimethod study. Crit Care 2015 Aug; 30 (4): 762-7.
35. Klockare M, Dufva A, Danielsson AM, Hatherly R, Larsson S, Jacobsson H, Mure M. Comparison between direct humidification and nebulization of the respiratory tract at mechanical ventilation: distribution of saline solution studied by gamma camera. J Clin Nurs. 2006 Mar; 15(3):301-7.
36. Jiang R, Duan JQ, Zhang JG, Wang D, Xiong Q, Qu Y, Qian KJ. The clinical research on the application of the heating humidifier with heating wire in pipeline in patients with tracheal intubation. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2012 Jul;24(7):412-4.
37. Pinciroli R, Mietto C, Piriyapatsom A, Chenelle CT, Thomas JG, Pirrone M, Bry L, Wojtkiewicz GR, Nahrendorf MP, Kacmarek RM, Berra L. Endotracheal Tubes Cleaned With a Novel Mechanism for Secretion Removal: A Randomized Controlled Clinical Study. Respir Care. 2016 Nov; 61(11):1431-1439.

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1.
López Martín, Irene. Eficacia sobre la instilación de suero fisiológico endotraqueal, previo a la aspiración de secreciones. Enfermería Docente. 16 de julio de 2018; (110). Disponible en: http://ciberindex.com/c/ed/110037ed [acceso: 21/09/2018]
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