Preoxygenation for tracheal suctioning in intubated, ventilated newborn infants

Abstract

Preoxygenation for tracheal suctioning in intubated, ventilated newborn infants (Review)

Correlation of ACR and TcPO2 in diabetic kidney disease patients: A pilot study

“…5 In predicting major adverse cardiovascular events, <46 mm Hg was set as low TcPO2. 20 However, <40 mm Hg was defined as low TcPO2 in most studies, 21,22 which was also the definition in our study. As diabetic kidney disease could induce edema, it may influence the measurement of TcPO2.…”

Correlation of ACR and TcPO2 in diabetic kidney disease patients: A pilot study

“…5 In predicting major adverse cardiovascular events, <46 mm Hg was set as low TcPO2. 20 However, <40 mm Hg was defined as low TcPO2 in most studies, 21,22 which was also the definition in our study. As diabetic kidney disease could induce edema, it may influence the measurement of TcPO2.…”

Endotracheal suctioning in intubated newborns: an integrative literature review

“…Endotracheal suctioning in intubated newborns undergoing MV is a procedure that is routinely performed by physiotherapists, doctors, nurses, and also by nursing technicians in Brazil as a component of the resuscitation procedure and bronchial hygiene therapy. ( 1 - 20 ) The goal is to maintain airway patency and facilitate ventilation and oxygenation. ( 1 - 6 ) However, this technique has specific indications and adverse effects.…”

“…Endotracheal suctioning is an important element of care for newborns admitted to the NICU because most of these patients require invasive MV and repeated and frequent suctioning for the removal of tracheal secretions. ( 2 , 4 , 8 , 9 , 12 , 20 - 29 ) According to the American Association of Respiratory Care (AARC), proper suctioning in intubated individuals improves gas exchange and respiratory sounds; decreases airway resistance and peak inspiratory pressure of the ventilator; improves dynamic compliance; increases the TV release when in limited pressure ventilation mode; and improves arterial blood gas and oxygen saturation (SpO 2 ) values. ( 6 , 10 ) However, many institutions attempt to maintain airway patency in intubated individuals by adopting protocols that include the routine use of endotracheal suctioning without evaluating whether the procedure is necessary.…”

“…( 14 - 16 ) Studies have even suggested that for most newborns, it is only necessary to increase the FiO 2 value by 10% relative to the pre-suctioning value. ( 20 - 22 )…”

“…However, SpO 2 must be monitored in all newborns requiring endotracheal suctioning; therefore, individualized hyperoxygenation parameters should be adopted according to clinical alterations during the procedure. ( 8 , 20 - 22 )…”

Correlation of ACR and TcPO2 in diabetic kidney disease patients: A pilot study

“…5 In predicting major adverse cardiovascular events, <46 mm Hg was set as low TcPO2. 20 However, <40 mm Hg was defined as low TcPO2 in most studies, 21,22 which was also the definition in our study. As diabetic kidney disease could induce edema, it may influence the measurement of TcPO2.…”

Endotracheal suctioning in intubated newborns: an integrative literature review

“…Endotracheal suctioning in intubated newborns undergoing MV is a procedure that is routinely performed by physiotherapists, doctors, nurses, and also by nursing technicians in Brazil as a component of the resuscitation procedure and bronchial hygiene therapy. ( 1 - 20 ) The goal is to maintain airway patency and facilitate ventilation and oxygenation. ( 1 - 6 ) However, this technique has specific indications and adverse effects.…”

“…Endotracheal suctioning is an important element of care for newborns admitted to the NICU because most of these patients require invasive MV and repeated and frequent suctioning for the removal of tracheal secretions. ( 2 , 4 , 8 , 9 , 12 , 20 - 29 ) According to the American Association of Respiratory Care (AARC), proper suctioning in intubated individuals improves gas exchange and respiratory sounds; decreases airway resistance and peak inspiratory pressure of the ventilator; improves dynamic compliance; increases the TV release when in limited pressure ventilation mode; and improves arterial blood gas and oxygen saturation (SpO 2 ) values. ( 6 , 10 ) However, many institutions attempt to maintain airway patency in intubated individuals by adopting protocols that include the routine use of endotracheal suctioning without evaluating whether the procedure is necessary.…”

“…( 14 - 16 ) Studies have even suggested that for most newborns, it is only necessary to increase the FiO 2 value by 10% relative to the pre-suctioning value. ( 20 - 22 )…”

“…However, SpO 2 must be monitored in all newborns requiring endotracheal suctioning; therefore, individualized hyperoxygenation parameters should be adopted according to clinical alterations during the procedure. ( 8 , 20 - 22 )…”

Correlation of ACR and TcPO2 in diabetic kidney disease patients: A pilot study

“…5 In predicting major adverse cardiovascular events, <46 mm Hg was set as low TcPO2. 20 However, <40 mm Hg was defined as low TcPO2 in most studies, 21,22 which was also the definition in our study. As diabetic kidney disease could induce edema, it may influence the measurement of TcPO2.…”

Endotracheal suctioning in intubated newborns: an integrative literature review

“…Endotracheal suctioning in intubated newborns undergoing MV is a procedure that is routinely performed by physiotherapists, doctors, nurses, and also by nursing technicians in Brazil as a component of the resuscitation procedure and bronchial hygiene therapy. ( 1 - 20 ) The goal is to maintain airway patency and facilitate ventilation and oxygenation. ( 1 - 6 ) However, this technique has specific indications and adverse effects.…”

“…Endotracheal suctioning is an important element of care for newborns admitted to the NICU because most of these patients require invasive MV and repeated and frequent suctioning for the removal of tracheal secretions. ( 2 , 4 , 8 , 9 , 12 , 20 - 29 ) According to the American Association of Respiratory Care (AARC), proper suctioning in intubated individuals improves gas exchange and respiratory sounds; decreases airway resistance and peak inspiratory pressure of the ventilator; improves dynamic compliance; increases the TV release when in limited pressure ventilation mode; and improves arterial blood gas and oxygen saturation (SpO 2 ) values. ( 6 , 10 ) However, many institutions attempt to maintain airway patency in intubated individuals by adopting protocols that include the routine use of endotracheal suctioning without evaluating whether the procedure is necessary.…”

“…( 14 - 16 ) Studies have even suggested that for most newborns, it is only necessary to increase the FiO 2 value by 10% relative to the pre-suctioning value. ( 20 - 22 )…”

“…However, SpO 2 must be monitored in all newborns requiring endotracheal suctioning; therefore, individualized hyperoxygenation parameters should be adopted according to clinical alterations during the procedure. ( 8 , 20 - 22 )…”