Endotrakeal Aspirasyon Öncesinde Tartışmalı Bir Uygulama: Serum Fizyolojik Kullanımı Gerekli mi?

Yıl 2015, Cilt: 2 Sayı: 2, 82 - 89, 02.12.2015

Nurten Kalender , Nuran Tosun

Öz

Mekanik ventilatör tedavisi uygulanan entübe hastalarda bakımın birincil amacı yeterli ventilasyonun sağlanması ve hava yolu açıklığının devam ettirilmesidir. Bu amaçla yapılan endotrakeal aspirasyon hastalarda solunum yolundaki sekresyonların temizlenmesi, oksijenasyonun artırılmasına katkıda bulunan ve sık uygulanan invaziv yöntemlerden biridir. Endotrakeal aspirasyon işlemi, öncesinde serum fizyolojik kullanımı sekresyonları dilüe etmek, mobilizasyonunu sağlamak ve aspirasyon için kullanılan kateterin kayganlığının sağlanması amacıyla da kullanılmaktadır. Ancak endotrakeal aspirasyon öncesinde kullanılan serum fizyolojik uygulamasına ilişkin yeterli kanıt bulunmamaktadır ve tartışmalı bir konudur. Bu derlemede endotrakeal aspirasyon işlemi öncesinde serum fizyolojik kullanımının oksijen satürasyonu, kalp hızı ve kan basıncı, enfeksiyon gelişimi ve hasta konforu üzerine olan etkilerinin değerlendirildiği çalışma sonuçlarına ve kanıta dayalı uygulama önerilerine yer verilmiştir. Anahtar Kelimeler: Endotrakeal aspirasyon, kanıt, serum fizyolojik

Anahtar Kelimeler

Endotrakeal aspirasyon, kanıt, serum fizyolojik

Kaynakça

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