Alfentanil Administered Prior to Endotracheal Suctioning Reduces Cerebral Perfusion Pressure

Hanowell, Leland H.; Thurston, James D.; Behrman, Kendra H.; Disbrow, Elizabeth A.

doi:10.1097/00008506-199301000-00005

Cited by 18 publications

(15 citation statements)

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“…Hanowell et al (1993) studied the effect of alfentanil (an opiate) given prior to ETS on the ICP and CPP of six head‐injured adults. This quasi‐experimental study compared the administration of saline, 15 and 30 μg/kg of alfentanil prior to ETS.…”

Section: Resultsmentioning

confidence: 99%

Endotracheal suctioning in children with severe traumatic brain injury: a literature review

Tume

Jinks

2008

Nursing in Critical Care

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Section: Resultsmentioning

confidence: 99%

Endotracheal suctioning in children with severe traumatic brain injury: a literature review

Tume

Jinks

2008

Nursing in Critical Care

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“…*P < 0.05 versus T0. 32 Patients receiving neuromuscular blockers were not included to ensure that sedation was optimal (absence of any movement during ETS, bispectral index <50). aerosolizers that synchronize to the initial inspiratory phase should further improve the tracheobronchial delivery of lidocaine.…”

Section: Discussionmentioning

confidence: 99%

Aerosolized Lidocaine During Invasive Mechanical Ventilation

Mathieu

Guillon

Leyre³

et al. 2013

Journal of Neurosurgical Anesthesiology

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“…One RCT (93) and four randomized crossover trials (94)(95)(96)(97) were designed to assess the effectiveness of a variety of pharmacological agents on ICP and CPP in patients with acute head injury. The studies included patients who had severe brain injury with decreased levels of consciousness requiring ventilatory support.…”

Section: Practice Guidelines For Suctioningmentioning

confidence: 99%

“…The studies included patients who had severe brain injury with decreased levels of consciousness requiring ventilatory support. The interventions assessed were neuromuscular blocking agents (93,94), topical and parenteral anesthetic agents (94)(95)(96), barbiturates (94) and narcotics (94,97). One study assessed the effect of hyperventilation as a co-intervention (96).…”

Section: Practice Guidelines For Suctioningmentioning

confidence: 99%

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Clinical Practice Guideline for Suctioning the Airway of the Intubated and Non-Intubated Patient

Brooks

Anderson²,

Carter³

et al. 2001

Canadian Respiratory Journal

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OBJECTIVE: To provide physicians, physiotherapists, nurses and respiratory therapists with guidelines for the application of airway suctioning. DESIGN: This clinical practice guideline was developed using the model by Browman and colleagues. A working group of representatives from four professional colleges (nurses, physicians and surgeons, physiotherapists and respiratory therapists) and research experts was formed to conduct a systematic review, develop evidence-based recommendations and generate clinical practice guidelines. MEDLINE (1966 to 1998), CINAHL (1982) and EMBASE (1974 as well as the reference lists of identified articles were searched. Inclusion of articles was determined by at least two group members, and studies were classified according to type. Randomized, controlled; randomized; and nonrandomized crossover and comparative cohort trials were grouped by type of intervention and population for use in the development of recommendations. Other observational and animal studies dealing with adverse effects of suctioning were included in the review but were not used in the development of recommendations. Input on the evidencebased recommendations was sought and incorporated from members of all four professions and from experts on content and methodology. SETTING: Any setting (hospital or home) where suctioning is performed. POPULATION: Intubated and nonintubated adults, infants and children. RESULTS AND CONCLUSIONS: An attempt was made to develop recommendations in each of the subcategories of suctioning techniques addressed by at least one study. In some subcategories, definite recommendations were made (13 in adults, and three in children and infants); in other subcategories, insufficient evidence precluded recommendations. The recommendations addressed the following aspects of suctioning: preoxygenation, hyperinflation, insufflation, hyperoxygenation, hyperventilation, saline instillation, adaptor use, medication use, open and closed systems, and various types of catheters.

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Alfentanil Administered Prior to Endotracheal Suctioning Reduces Cerebral Perfusion Pressure

Cited by 18 publications

References 0 publications

Endotracheal suctioning in children with severe traumatic brain injury: a literature review

Endotracheal suctioning in children with severe traumatic brain injury: a literature review

Aerosolized Lidocaine During Invasive Mechanical Ventilation

Clinical Practice Guideline for Suctioning the Airway of the Intubated and Non-Intubated Patient

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