Journal of Korean Academy of Nursing

The Effects of Chest Vibration Prior to Endotracheal Suctioning on Oxygenation and the Amount of Lung Secretions in Premature Infants with Respiratory Distress Syndrome: Ahn Young Mee; Journal of Korean Academy of Nursing 1998;28(3):591-601. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.3.591

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The Effects of Open Endotracheal Suctioning(ETS) and Close ETS on Oxygen Saturation and Heart Rate in Premature Infants with Respiratory Distress Syndrome: Mi Soon Kim, Young Mee Ahn, In Ok Park, Sook Ja Choi, Mi Young Yoo; Journal of Korean Academy of Nursing 1998;28(3):529-539. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.3.529

Prematurity is the main cause for respiratory distress syndrome(RDS) in neonates. The goal in the treatment of RDS is to maintain respiration with adequate oxygenation. ETS needs to be performed to remove lung secretions in the ventilated premature infants with RDS. Oxygen saturation(SpO2) and heart rate(HR) were compared in 22 premature infants with RDS using two types of ETS: open ETS versus close ETS. The results showed there was no significant difference in the SpO2 and HR returned to the baseline within 1 minute after suctioning. But in some case, there was a significantly greater incidence in the decrease of SpO2 below 90% occurred in the open ETS than in the close ETS. It implies that closed ETS may be beneficial to premature infants who tend to develop desaturation easily.

Citations

Citations to this article as recorded by

Effects of Open or Closed Suctioning on Lung Dynamics and Hypoxemia in Mechanically Ventilated Patients
Eun Young Lee, Su Hyun Kim
Journal of Korean Academy of Nursing.2014; 44(2): 149. CrossRef
Endotracheal Colonization and Ventilator-associated Pneumonia in Mechanically Ventilated Patients according to Type of Endotracheal Suction System
Kyeong-Sook Cha, Ho-Ran Park
Journal of Korean Academy of Nursing.2011; 41(2): 175. CrossRef
A Study on Oxygen Saturation, Vital Signs, and Vomiting by Routine Suctioning to Healthy Newborns at Nursery
Hye Mi Choi, Ja Hyung Lee
Journal of Korean Academy of Child Health Nursing.2010; 16(2): 128. CrossRef

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Concept Analysis of Endotracheal Suctioning(ETS): Young Mee Ahn; Journal of Korean Academy of Nursing 2005;35(2):292-302. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.2.292

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Purpose

Concept analysis was performed on the behavioral concept of endotracheal suctioning (ETS), to identify the goal, to develop astandardized clinical protocol, to identify the antecedents and consequences, and to differentiate the improper use of ETS.

Method

Walker & Avant's concept analysis was employed using clinical guidelines, books and review articles in which the procedures of ETS were written in detail and published in Pubmed within the last 20 years.

Result

The macro-goal of ETS was to remove accumulated respiratory secretions. Three defining attributes of ETS were identified; catheter, suctioning and asepsis. Each attribute involved empirical referents, such as the size and depth of thecatheter, the suction pressure, duration and method for suctioning. The antecedents of ETS were identical to the clinical evidences for the need of ETS such as the nursing assessment data. The consequences of ETS serve as an evaluation criteria on the effectsof ETS based on the goal of ETS.

Conclusion

The concept analysis of ETS demonstrates an example of considering a specific nursing protocol of ETS as a behavioral concept, applying concept analysis to it to identify it's key behavioral components as defining attributes and empirical referents and then developing and applying the standard ETS protocol.

Citations

Citations to this article as recorded by

Effects of Open or Closed Suctioning on Lung Dynamics and Hypoxemia in Mechanically Ventilated Patients
Eun Young Lee, Su Hyun Kim
Journal of Korean Academy of Nursing.2014; 44(2): 149. CrossRef
Patterns and Clinical Correlates of Pain Among Brain Injury Patients in Critical Care Assessed with the Critical Care Pain Observation Tool
KangIm Lee, HyunSoo Oh, YeonOk Suh, WhaSook Seo
Pain Management Nursing.2013; 14(4): 259. CrossRef

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