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Journal of Nursing ›› 2023, Vol. 30 ›› Issue (18): 36-41.doi: 10.16460/j.issn1008-9969.2023.18.036

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Best evidence summary for identification and prevention of silent aspiration in mechanically ventilated patients

HOU Ya-tian1, CHEN Si-nuo1, LIU Meng-hui1, ZHANG Bo-wen1, AN Xiang1, LIU Yun2a, XU Wen-qi1, ZHANG Ming-yang2b   

  1. 1. School of Nursing and Health, Henan University, Kaifeng 475000, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of Surgery Anesthesia III, Zhongshan People's Hospital, Zhongshan 528400, China
  • Received:2023-08-03 Online:2023-09-25 Published:2023-10-11

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Abstract: Objective To summarize the best evidence for the identification and prevention of silent aspiration in mechanically ventilated patients. Methods We searched databases including BMJ Best Practice, JBI, GIN, NGC, NICE to collect literature on the identification and prevention of silent aspiration in patients with mechanical ventilation, and the retrieval period was from the inception of the databases to February 2023. Two researchers independently evaluated literature quality and extracted the evidence. Results Twenty-five articles were selected,and 23 pieces of evidence were summarized from 7 aspects including identification of silent aspiration, risk factors, airway management, postural management, feeding routes, clinical monitoring, and nurse training. Conclusion Medical staff can refer to the evidence summarized in this study, to identify and prevent silent aspiration in patients with mechanical ventilation with the combination of clinical practice and patients' wishes.

Key words: mechanical ventilation, silent aspiration, prevention, evidence-based nursing

CLC Number: 

  • R473.56
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