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A meta‐analysis of the effects of various interventions in preventing endotracheal suction‐induced hypoxemia
Author(s) -
Oh HyunSoo,
Seo WhaSook
Publication year - 2003
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1046/j.1365-2702.2003.00796.x
Subject(s) - medicine , hypoxemia , insufflation , anesthesia , suction , oxygenation , hypoxia (environmental) , tidal volume , psychological intervention , intensive care medicine , respiratory system , oxygen , mechanical engineering , organic chemistry , psychiatry , chemistry , engineering
Summary • The purpose of this study was to clarify the effects of interventions that were applied to prevent endotracheal suction‐induced hypoxia by meta‐analysis. • To obtain a sample for this meta‐analysis, a computerized search was performed through MEDLINE in addition to tracking down additional references cited in bibliographies of past reports. Finally thirty research reports were examined. • In terms of the application time of oxygenation, insufflation and preoxygenation were the most prevalently used in the studies. • Regarding the methods of oxygenation, the most prevalent technique for oxygenation was hyperoxygenation in combination with hyperinflation. • Hyperoxygenation and hyperinflation were most frequently induced by FiO 2 of 1 and a 150% tidal volume of three to six breaths, respectively. • Suctioning was commonly sustained for <15 seconds using pressures of −80 to −120 mmHg and with size 14 French catheters. • Insufflation was less effective than the other methods examined in the present study. • From this study, it can be concluded that the interventions that were applied to prevent endotracheal suction‐induced hypoxia, regardless of their application times or methods, reduced suction‐induced hypoxia significantly.

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