Using Ultrasound to Confirm Endotracheal Tube Position in the Intensive Care Unit

Objective: to evaluate the care dispensed by the nursing team of the Intensive Care Unit of the Hospital Public of Gurupi to patients using orotracheal tube. Methods: this is about a descriptive, observational research, from quantitative analysis. The observation of care, according to the protocol aimed at the handling of the endotracheal tube, occurred for seven days in March 2009 for 14 hours a day, with a total of 105 hours. The study was approved by the Research Ethics Committee of the University Castelo Branco (0169/2008). Results: checking blood pressure of the cuff every 12 hours and hydration of the lips every four hours was not performed by nursing staff, the oral hygiene was performed only once a day, but was assured by professionals an alternative means of communication intubated patients, the exchange and holding the lace was made daily, the use of gauze on the sides of the oral cavity was placed when it was apparent some aggression to the skin of the patient, the aspiration of endotracheal tube with aseptic technique, was performed to avoid complications. Conclusion: the nursing team observed presented failures in attendance which could be reduced through implanting specific protocols for handling of the orotracheal tube. Descriptors: intubation; nursing care; intensive care unit.

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Efficacy of endotracheal tube suctioning in intubated intensive care unit patients determined by in vivo catheter-based optical coherence tomography—a pilot study

Quantitative Imaging in Medicine and Surgery ◽

10.21037/qims-20-549 ◽

2021 ◽

Vol 11 (1) ◽

pp. 1-8

Author(s):

Roshan Dsouza ◽

Darold R. Spillman Jr ◽

Ronit Barkalifa ◽

Guillermo L. Monroy ◽

Eric J. Chaney ◽

...

Keyword(s):

Intensive Care Unit ◽

Optical Coherence Tomography ◽

Intensive Care ◽

Pilot Study ◽

Endotracheal Tube ◽

Optical Coherence

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EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE (SACETT) IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNIT

Belitung Nursing Journal ◽

10.33546/bnj.503 ◽

2018 ◽

Vol 4 (4) ◽

pp. 380-389

Author(s):

Arfiyan Sukmadi ◽

Rr Sri Endang Pujiastuti ◽

Aris Santjaka ◽

Supriyadi Supriyadi

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Endotracheal Tube ◽

Intervention Group ◽

Control Group ◽

Ventilator Associated Pneumonia ◽

Mechanical Ventilator ◽

Control Group Design ◽

Bacterial Development ◽

Critical Patients

Background: The mechanical ventilator is an indispensable breathing tool in the Intensive Care Unit (ICU). But the mechanical ventilator is associated with the risk of Ventilator Associated Penumonia (VAP). VAP occurs due to poor hygiene of the endotracheal tube (ETT). ETT hygiene should be maintained to inhibit bacterial development in the lungs using suction above cuff endotracheal tube (SACETT) to prevent VAP.Objective: To analyze the effectiveness of SACETT in preventing Ventilator Associated Pneumonia (VAP) in critical patients in the ICU.Methods: This was a quasy experimental study with posttest only with control group design with 15 samples in intervention group (SACETT and Chlorhexidine 0.2%) and 15 in control group (ETT, Open Suction, and Chlorhexidine 0.2%) with purposive technique sampling. The Simplified Clnical Pulmonary Infection Score (CPIS) was used to measure VAP.Results: This study illustrates that there was no VAP incidence in the intervention group, and as much as 13.3% VAP in the control group. SACETT was more effective in preventing VAP than in standard ETT on day 4 (p = 0.001).Conclusion: SACETT is more effective in preventing VAP than standard ETT in the fourth day in patients with neurological, cardiovascular, urinary, digestive, and immune system disorders.

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