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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (13): 46-51.doi: 10.16460/j.issn1008-9969.2021.13.046

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Best Evidence Summary for Prevention of Early Airway Complications in Children with Non-mechanical Ventilation after Tracheotomy

LV Yun-xiaa, FENG Shao-juana, LIU Zheng-weib, CHEN Yan-qiua, LIU Jiea, HUANG Jie-yinga   

  1. a. Dept. of General Surgery, Section VIII; b. Dept. of Cardiology, Guangzhou Women and Children's Medical Center,Guangzhou 510623, China
  • Received:2021-03-07 Published:2021-08-06

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Abstract: Objectives To search and summarize the best evidence regarding the prevention of early airway complications in children with non-mechanical ventilation after tracheostomy, and to provide reference for clinical staffs. Methods Evidence-based problems were identified with PIPOST method and systematic literature retrieval was carried out on the basis of 6S evidence model. The evidence regarding prevention of early airway complications in children with non-mechanical ventilation after tracheostomy was searched. It included computer decision system, guidelines, expert consensus, evidence summaries and best practice recommendations, and systematic reviews. Two researchers assessed the quality and extract evidence independently. The retrieval time was from the inception to April 1, 2020. Results A total of 11 articles were selected including 1 guideline, 2 evidence summary, 3 recommended practices and 5 expert consensus. According to professional judgment, 37 pieces of best evidences were summarized into 6 aspects: patient management, tracheostoma care, tape changing, tracheal suction, humidification and tracheostomy tubes changing. Conclusion Clinical managers should strengthen the management after tracheotomy in pediatric patients and develop a standardized care program to standardize nursing procedure, thus to reduce the incidence of airway complications.

Key words: tracheostomy, child, non-mechanical ventilation, airway nursing, complication, evidence-based nursing

CLC Number: 

  • R473.6
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