Abstract
Yoğun bakım üniteleri (YBÜ), yaşamı tehdit altında olan
bireylere, olabilecek en üst düzeyde yarar sağlamak amacıyla kullanılan çok
sayıda yaşam kurtarıcı teknolojik araç gereçlerin bulunduğu, disiplinler arası
bir ekip yaklaşımının zorunlu olduğu bakım merkezleridir. YBÜ’nde kendi
solunumunu yapamayan hastalara yapay havayolu, hastaya ağızdan ya da burundan
takılan endotrakeal tüp (ET) adı verilen bir araç ile sağlanır. YBÜ’nde ET’ün tespitinde, ET tüp tutucu gibi ticari yöntem ya
da yapışkan bant, gazlı bez gibi ticari olmayan yöntem kullanılabilir. YBÜ’nde
yatan entübe hastalarda, ET tespiti ve
hareketinin önlenmesi önemli bir hemşirelik uygulamasıdır. Komplikasyonlar ve
planlanmamış ekstübasyon, yoğun bakım hastaları için istenmeyen ve ölümcül
durumlardır. Yoğun bakım hemşireleri bu olumsuz durumların görülmemesi/azaltılması için,
entübe hastalara bakım verirken ET’ü güvenli şekilde tespit etme, hasta için
uygun ET tespit yöntemini seçme, ET’e bağlı
cilt bütünlüğünde bozulma riski açısından cildi gözleme ve enfeksiyonun
önlenebilmesi amacıyla kontaminasyon durumunda tespit materyalinin
değişimi/bakımını gerçekleştirmeden sorumludur. Bu sistematik derlemede,
yetişkin yoğun bakım hastalarında ET tespitinde kullanılan ticari ve ticari
olmayan yöntemler güncel literatür doğrultusunda irdelenerek, yoğun bakım
hemşirelerine ET tespitine bağlı gelişebilecek komplikasyonların önlenmesine yönelik rehberlik edecek
bilgilerin sunulması amaçlandı.
Keywords
Yoğun bakım ünitesi endotrakeal tüp tespiti yapışkan bant endotrakeal tüp tutucusu yoğun bakım hemşiresi
References
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- 18. Tailleur R, Bathory I, Dolci M, Frascarolo P, Kern C, SchoettkerP.Endotrachealtubedisplacementduringheadandneckmovements. Observationalclinical trial.J Clin Anesth, 2016; 32:54-58.
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- 20. Shimizu T, Mizutani T, Yamashita S, Hagiya K, Tanaka M. Endotracheal tube extubation force: adhesive tape versus endotracheal tube holder. Respiratory Care, 2011;56(11): 1825-1829.
- 21. McNichol L, Lund C, Rosen T, Gray M. Medical adhesives and patient safety: state of the science: consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries. Orthop Nurs. 2013; 32(5): 267-281.
- 22. Fletcher J. Device related pressure ulcers. Wounds UK, 2012; 8(2): 1-4.
- 23. Apold J, Rydrych D. Preventing Device-Related Pressure Ulcers: using data to guide statewide change. J Nurs Care Qual,2012; 27(1): 28–34.
- 24. Black J, Alves P, Brindle CT, Dealey C, Santamaria N, Call E, Clark M. Use of wound dressings to enhance prevention of pressure ulcers caused by medical devices. Int Wound J,2015; 12(3):322–327.
- 25. Cooper KL. Evidence-based prevention of pressure ulcers in the intensive care unit. Critical Care Nurse, 2013; 33(6):57-66.
- 26. Hanönü S, Karadağ A. A prospective, descriptive study to determine the rate and characteristics of and risk factors for the development of medical device-related pressure ulcers in intensive care units. Ostomy Wound Manage, 2016; 62(2): 12-22.
- 27. Zaratkiewicz S,Teegardin C, Whitney JD. Retrospective review of the reduction of oral pressure ulcers in mechanically ventilated patients: a change in practice. Crit Care Nurse Q ,2012; 35(3): 247-254.
- 28. Amini N, Rezaei K, Yazdannik A. Effect of nebulizedeucalyptus on contamination of microbialplaque of endotrachealtube in ventilatedpatients. IranianJournal of NursingandMidwiferyResearch. 2016; 21(2): 165-170.
Abstract
References
- 1. Terzi B, Kaya N. Yoğun bakım hastasında hemşirelik bakımı. Yoğun Bakım Dergisi, 2011;1:21-25.
- 2. Altun Uğraş G, Aksoy G. The effects of open and closed endotracheal suctioning on intracranial pressureand cerebral perfusion pressure: a crossover, single-blind clinical trial. Journalof NeuroscienceNursing, 2012; 44(6): 1-8.
- 3. Fisher DF, Chenelle CT, Marchese AD, Kratohvil JP, Kacmarek RM. Comparison of commercialandnoncommercialendotrachealtube-securingdevices.RespiratoryCare, 2014; 59(9): 1315- 1323.
- 4. Saseeddharan S, Karanam R, Kulkarni S, Chaddha R. New method of endotracheal tube fixation in longterm care settings-raheja hospital method. Anesthesia & Clinical Research ,2014; 5(10):1-2.
- 5. Zeng LA, Lie SA, Chong SY. Comparison of medical adhesive tapes in patients at risk of facial skin trauma under anesthesia. Anesthesiol Res Pract,2016; 2016:1-6.
- 6. Smith AG, Pietrantonio T.Best method for securing an endotracheal tube. Critical Care Nurse,2016; 36(2):78-79.
- 7. Lim BG. The effectiveness of an endotracheal tube holder. Advances in Bioscience and Clinical Medicine, 2016; 4(1): 1-3.
- 8. Çelik S. Mekanik ventilasyon ve temel bakım ilkeleri. İçinde: S Çelik (Ed), Erişkin Yoğun Bakım Hastalarında Temel Sorunlar. Nobel Tıp Kitabevleri, 2014; 58-60.
- 9. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Paneland Pan Pacific Pressure Injury Alliance. (NPUAP/EPUAP/PPPIA). Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. E. Haesler (Ed.). Cambridge Media: Osborne Park, Australia; 2014.
- 10. Kahraman BB, Erden S. Planlanmamış ekstübasyonun önlenmesinde hemşirenin anahtar rolleri. Van Tıp Dergisi, 2016; 23(1):121-124.
- 11. Murdoch E, Holdgate A. A comparison of tape-tying versus a tube-holding device for securing endotracheal tubes in adults. Anaesth Intensive Care, 2007; 35(5): 730-735.
- 12. Krug L, Machan M, Villalba J. Securing the endotracheal tube with adhesive tape: an integrative literature review. AANA Journal, 2014; 82(6): 457-464.
- 13. Buckley J, Brown A, Shin J, Rogers K, Hoftman N. A comparison of the haider tube-guard® endotracheal tube holder versus adhesive tape to determine if this novel device can reduce endotracheal tube movement and prevent unplanned extubation. Anesthesia&Analgesia,2016; 122(5): 1439-1443.
- 14. Hyzy RC. (Up Date:Mar 06, 2017).Complicantions of the endotracheal tube following initial placament: prevention and management in adult intensive care unit patients. Uptodate, 2017. Erişim adresi:https://www.uptodate.com/contents/complications-of-the-endotracheal-tube-following-initial-placement-prevention-and-management-in-adult-intensive-care-unit-patients.ErişimTarihi: 25.05.2017.
- 15. Carlson J, Mayrose J, Krause R, Jehle D. Extubationforce:tapeversusendotrachealtubeholders. Annals of EmergencyMedicine, 2007; 50(6): 686-691.
- 16. Byun SH, Kang SH, Kim JH, Ryu T, Kim BJ, Jung JY. Comparison of a tube-holder (Rescuefix) versus tape-tying for minimizing double-lumen tube displacement during lateral positioning in thoracic surgery: a prospective, randomized controlled study. Medicine, 2016; 95(31):1-7.
- 17. Jarachovic M, Mason M, Kerber K., McNettM.The role of standardized protocols in unplanned extubations in a medical intensive care unit.Am J Crit Care. 2011; 20(4): 304-311.
- 18. Tailleur R, Bathory I, Dolci M, Frascarolo P, Kern C, SchoettkerP.Endotrachealtubedisplacementduringheadandneckmovements. Observationalclinical trial.J Clin Anesth, 2016; 32:54-58.
- 19. Komasawa N, Fujiwara S, Miyazaki S, Ohchi F, Minami T. Shifts in endotrachealtubepositionduetochest compressions: a simulationcomparisonbyfixationmethod.J EmergMed. 2015; 48(2): 241-246.
- 20. Shimizu T, Mizutani T, Yamashita S, Hagiya K, Tanaka M. Endotracheal tube extubation force: adhesive tape versus endotracheal tube holder. Respiratory Care, 2011;56(11): 1825-1829.
- 21. McNichol L, Lund C, Rosen T, Gray M. Medical adhesives and patient safety: state of the science: consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries. Orthop Nurs. 2013; 32(5): 267-281.
- 22. Fletcher J. Device related pressure ulcers. Wounds UK, 2012; 8(2): 1-4.
- 23. Apold J, Rydrych D. Preventing Device-Related Pressure Ulcers: using data to guide statewide change. J Nurs Care Qual,2012; 27(1): 28–34.
- 24. Black J, Alves P, Brindle CT, Dealey C, Santamaria N, Call E, Clark M. Use of wound dressings to enhance prevention of pressure ulcers caused by medical devices. Int Wound J,2015; 12(3):322–327.
- 25. Cooper KL. Evidence-based prevention of pressure ulcers in the intensive care unit. Critical Care Nurse, 2013; 33(6):57-66.
- 26. Hanönü S, Karadağ A. A prospective, descriptive study to determine the rate and characteristics of and risk factors for the development of medical device-related pressure ulcers in intensive care units. Ostomy Wound Manage, 2016; 62(2): 12-22.
- 27. Zaratkiewicz S,Teegardin C, Whitney JD. Retrospective review of the reduction of oral pressure ulcers in mechanically ventilated patients: a change in practice. Crit Care Nurse Q ,2012; 35(3): 247-254.
- 28. Amini N, Rezaei K, Yazdannik A. Effect of nebulizedeucalyptus on contamination of microbialplaque of endotrachealtube in ventilatedpatients. IranianJournal of NursingandMidwiferyResearch. 2016; 21(2): 165-170.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | August 15, 2018 |
| Submission Date | October 5, 2017 |
| Acceptance Date | October 24, 2017 |
| Published in Issue | Year 2018 Volume: 11 Issue: 2 |
Cite
Cited By
Yoğun Bakım Ünitesinde Mekanik Ventilatör Desteği Alan Hastanın Hemşirelik Bakımı
MAS Journal of Applied Sciences
https://doi.org/10.52520/masjaps.v7i2id205
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