Best Practice in Tracheostomy Suctioning Among Pediatric Patients: A Poster Presentation

2.50
Hdl Handle:
http://hdl.handle.net/10755/147427
Type:
Presentation
Title:
Best Practice in Tracheostomy Suctioning Among Pediatric Patients: A Poster Presentation
Abstract:
Best Practice in Tracheostomy Suctioning Among Pediatric Patients: A Poster Presentation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Young, Jessica, RRT, AAS
P.I. Institution Name:Cincinnati Children's Hospital Medical Center
Title:Registered Respiratory Therapist
Co-Authors:Katherine Anne Abbott, RN, BS, CPN; Dolores Ann Puthoff, RN, MSN; Kimberly Kombrinck, APN; Erin Michelle Laws, RRT, AAS
[Clinical Session Presentation] Compromised children with complex respiratory needs may not be able to clear their airway of troublesome secretions. The issue of airway clearance and airway patency becomes even more critical in the narrow passages of pediatric patients. Pediatric patients with artificial airways, such as tracheostomies, may require suctioning to rid their airway of secretions. As nurses and respiratory therapists, excellence in clinical practice requires determining the most effective, efficient, and safe suctioning technique.  Published current international suctioning standards recommend the use of negative pressure only during withdrawal of the suction catheter from the tracheostomy.  Experts, articles, textbooks, and policies recommend suction techniques without research to support the practice. A literature search was conducted to seek a comparison between suctioning on catheter insertion and withdrawal as opposed to only suctioning during catheter withdrawal.  Critical appraisal of the literature revealed that a majority of the currently published work is expert opinion or level five.   The majority of the evidence consisted of descriptive and longitudinal studies.  The overall grade of the evidence is low. There are no high quality research studies to support a determination of best suctioning practice.  Healthcare continues to expand its limits to give children life through artificial airways.  The increasing numbers of children with tracheostomies worldwide require a precedence to be set for best practice.  Given that current standards are based on low level evidence, it is recommended that research be conducted.   Embarking on a study may allow healthcare providers to develop guidelines based on high level evidence that then provides the best care for pediatric patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBest Practice in Tracheostomy Suctioning Among Pediatric Patients: A Poster Presentationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147427-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Best Practice in Tracheostomy Suctioning Among Pediatric Patients: A Poster Presentation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Young, Jessica, RRT, AAS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Cincinnati Children's Hospital Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Registered Respiratory Therapist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jessica.young@cchmc.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Katherine Anne Abbott, RN, BS, CPN; Dolores Ann Puthoff, RN, MSN; Kimberly Kombrinck, APN; Erin Michelle Laws, RRT, AAS</td></tr><tr><td colspan="2" class="item-abstract">[Clinical Session Presentation] Compromised children with complex respiratory needs may not be able to clear their airway of troublesome secretions. The issue of airway clearance and airway patency becomes even more critical in the narrow passages of pediatric patients. Pediatric patients with artificial airways, such as tracheostomies, may require suctioning to rid their airway of secretions. As nurses and respiratory therapists, excellence in clinical practice requires determining the most effective, efficient, and safe suctioning technique.&nbsp; Published current international suctioning standards recommend the use of negative pressure only during withdrawal of the suction catheter from the tracheostomy.&nbsp; Experts, articles, textbooks, and policies recommend suction techniques without research to support the practice. A literature search was conducted to seek a comparison between suctioning on catheter insertion and withdrawal as opposed to only suctioning during catheter withdrawal.&nbsp; Critical appraisal of the literature revealed that a majority of the currently published work is expert opinion or level five. &nbsp;&nbsp;The majority of the evidence consisted of descriptive and longitudinal studies.&nbsp; The overall grade of the evidence is low. There are no high quality research studies to support a determination of best suctioning practice.&nbsp; Healthcare continues to expand its limits to give children life through artificial airways.&nbsp; The increasing numbers of children with tracheostomies worldwide require a precedence to be set for best practice.&nbsp; Given that current standards are based on low level evidence, it is recommended that research be conducted.&nbsp;&nbsp; Embarking on a study may allow healthcare providers to develop guidelines based on high level evidence that then provides the best care for pediatric patients.</td></tr></table>en_GB
dc.date.available2011-10-26T09:32:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:32:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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