Saline Instillation Down The Endotracheal Tube - 1533 Words

ABSTRACT Saline instillation down the endotracheal tube or tracheotomy to aid in secretion removal is a common practice in the intensive care unit (ICU). Normal saline instillation is used to decrease the viscosity of mucous in order to mobilize secretions and aid in suctioning mechanically ventilated patients in the intensive care units. Many respiratory therapists and nurses are currently using saline with endotracheal suctioning without an adequate knowledge of any existing evidence-based research or recommendation to guide the practice. The purpose of this study was to investigate and determine whether saline instillation for bronchial hygiene was beneficial or harmful to the patients and to provide evidence-based guidelines to be followed by healthcare providers in the intensive care units. This is a comprehensive review from the already researched articles on the use of saline instillation down the endotracheal tube for the purpose of mobilizing secretions and suctioning mechanically ventilated patients in the intensive care units (ICU). Databases such as PUBMED, Google Scholar, and Medline were utilized for the review of literature. Keywords: Normal saline, Endotracheal, Tracheostomy, ARDS, Meconium Aspiration, Pneumonia, VAP, Bronchiolitis, Chest Physiotherapy, Intubated, Mechanical ventilation, Bronchoscopy, Bronchoalveolar Lavage INTRODUCTION This paper examines the practice and the usage of endotracheal normal saline instillation prior to suctioning in order toShow MoreRelatedVentilator Associated Pneumonia7706 Words   |  31 PagesClinical Pulmonary Infection Score and the data were collected using a structured knowledge questionnaire and practice questionnaire. Sample and sampling technique: Study samples includes, patients put on mechanical ventilator either through endotracheal tube or tracheostomy for minimum duratio n of 48 hours of intubation in the ICUs and staff nurses working in ICUs and Emergency, using convience sampling technique. Result: The results of the study revealed that out of 8 mechanically ventilated