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Current practice in airway management: A descriptive evaluation Kjonegaard R; Fields W; King MLAm J Crit Care 2010[Mar]; 19 (2): 168-73; quiz 174BACKGROUND: Ventilator-associated pneumonia, a common complication of mechanical ventilation, could be reduced if health care workers implemented evidence-based practices that decrease the risk for this complication. OBJECTIVES: To determine current practice and differences in practices between registered nurses and respiratory therapists in managing patients receiving mechanical ventilation. METHODS: A descriptive comparative design was used. A convenience sample of 41 registered nurses and 25 respiratory therapists who manage critical care patients treated with mechanical ventilation at Sharp Grossmont Hospital, La Mesa, California, completed a survey on suctioning techniques and airway management practices. Descriptive and inferential statistics were used to analyze the data. RESULTS: Significant differences existed between nurses and respiratory therapists for hyperoxygenation before suctioning (P =.03). In the 2 groups, nurses used the ventilator for hyper-oxygenation more often, and respiratory therapists used a bag-valve device more often (P =.03). Respiratory therapists instilled saline (P <.001) and rinsed the closed system with saline after suctioning (P =.003) more often than nurses did. Nurses suctioned oral secretions (P <.001) and the nose of orally intubated patients (P =.01), brushed patients' teeth with a toothbrush (P<.001), and used oral swabs to clean the mouth (P <.001) more frequently than respiratory therapists did. CONCLUSION: Nurses and respiratory therapists differed significantly in the management of patients receiving mechanical ventilation. To reduce the risk of ventilator-associated pneumonia, both nurses and respiratory therapists must be consistent in using best practices when managing patients treated with mechanical ventilation.|Evidence-Based Practice[MESH]|Female[MESH]|Humans[MESH]|Male[MESH]|Nursing Staff, Hospital[MESH]|Patient Care Management/*methods[MESH]|Pneumonia, Ventilator-Associated/etiology/*nursing/*prevention & control[MESH]|Practice Guidelines as Topic[MESH]|Respiration, Artificial/adverse effects/*methods/*nursing[MESH]|Respiratory Therapy/*methods[MESH]|Suction/methods[MESH] |
