以质量求发展，以服务铸品牌

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

Previous Articles     Next Articles

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

PDF (PC)

179

Like

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
[1] 韩东一,肖水芳.耳鼻咽喉头颈外科学[M].北京:人民卫生出版社,2017:513.
[2] 郑迎,王文超,张燕红,等.气管切开患儿延续性护理研究进展[J].护理学报,2017,24(20):29-33.DOI:10.16460/j.issn1008-9969.2017.20.029.
[3] Avelino MAG, Maunsell R, Valera FCP, et al.First Clinical Consensus and National Recommendations on Tracheostomized Children of the Brazilian Academy of Pediatric Otorhinolaryngology(ABOPe) and Brazilian Society of Pediatrics (SBP)[J]. Braz J Otorhinolaryngol, 2017,83(5):498-506.DOI:10.1016/j.bjorl.2017.06.002.
[4] 李勤,沈伟.儿童气管切开术有关问题探讨[J].医学综述, 2006,12(9):564-566.DOI:10.3969/j.issn.1006-2084.2006.09.023.
[5] Sherman JM, Davis S, Albamonte-Petrick S, et al.Care of the Child with a Chronic Tracheostomy. This Official Statement of the American Thoracic Society was Adopted by the ATS Board of Directors, July 1999[J].Am J Respir Crit Care Med, 2000,161(1):297-308.DOI:10.1164/ajrccm.161.1.ats1-00.
[6] de Trey L, Niedermann E, Ghelfi D, et al. Pediatric Tracheotomy: A 30-year Experience[J]. J Pediatr Surg, 2013,48(7):1470-1475.DOI:10.1016/j.jpedsurg.2012.09.066.
[7] Ilce Z, Celayir S, Tekand GT, et al.Tracheostomy in Childhood:20 Years Experience from a Pediatric Surgery Clinic[J]. Pediatr Int, 2002,44(3):306-309.DOI:10.1046/j.1442-200x.2002.01554.x.
[8] 黄东海,肖健云,赵素萍,等.小儿气管切开术156例分析[J].临床耳鼻咽喉科杂志,2005(8):353-355. DOI:10.3969/j.issn.1001-1781.2005.08.008.
[9] 吴柳青,梁正中,唐向荣. 小儿气管切开术并发症原因分析[J]. 山东大学耳鼻喉眼学报, 2007(2):163-165. DOI:10.3969/j.issn.1673-3770.2007.02.025.
[10] 冯勇,奚玲,余晓旭,等.小儿气管切开术33例临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2013,27(2):98-100. DOI:1001-1781(2013)02-0098-03.
[11] Das P, Zhu H, Shah R K, et al.Tracheotomy-related Catastrophic Events: Results of a National Survey[J]. Laryngoscope, 2012,122(1):30-37.DOI:10.1002/lary.22453.
[12] Hopkins C, Whetstone S, Foster T, et al.The Impact of Tracheostomy on Both Patient and Parent[J]. Int [J] Pediatr Otorhinolaryngol.2009,73:15-20.DOI:10.1016/j.ijporl.2008.09.010.
[13] Doherty C, Bowler M, Monks S, et al.Reduction in Harm from Tracheostomy-related Incidents after Implementation of the Paediatric National Tracheostomy Safety Project Resources: A Retrospective Analysis from a Tertiary Paediatric Centre[J].Clin Otolaryngol, 2018,43(2):674-678.DOI:10.1111/coa.12994.
[14] 胡艳,王海燕,袁映红,等.集束化护理对气管切开患者切口感染的预防效果评价[J].中华医院感染学杂志,2015,10:2337-2339. DOI:10.11816/cn.ni.2015-150379.
[15] 中华护理学会.气管切开非机械通气患者气道护理[EB/OL]. (2020-01-03)[2020-3-15]. http://www.zhhlxh.org.cn/cnaWebcn/upFilesCenter/upload/file/20200103/1578033685394056751.pdf.
[16] 朱政,胡雁,邢唯杰,等.不同类型循证问题的构成[J].护士进修杂志,2017,32(21):1991-1994.DOI:10.16821/j.cnki.hsjx.2017.21.025.
[17] Dicenso A, Bayley L, Haynes RB.Accessing Pre-appraised Evidence: Fine-tuning the 5S Model into a 6S Model[J]. Evid Based Nurs, 2009,12(4):99-101.DOI:10.1136/ebn.12.4.99-b.
[18] AGREE. Appraisal of Guidelines for Research Evaluation II[EB/OL]. (2017-10-15)[2020-4-25]. https://www.agreetrust.org/wp-content/uploads/2017/12/AGREE-II-Users-Manual-and-23-item-Instrument-2009-Update-2017.pdf.
[19] 吕永利,李沙沙,李霞,等.宫颈癌患者根治术后尿潴留预防及管理的最佳证据总结[J].中华护理杂志, 2019,54(7):1097-1102. DOI:10.3761/j.issn.0254-1769.2019.07.028.
[20] Joanna Briggs Institute.Critical Appraisal Tools[EB/OL].[2020-04-15].https://joannabriggs.org/ebp/critical_appraisal_tools.
[21] Joanna Briggs Institute.JBI Critical Appraisal Checklist for Text and Opinion Papers[EB/OL].[2020-4-25].https://joan-nabriggs.org/sites/default/files/2019-05/JBI_Critical_Appraisal -Checklist_for_Text_and_Opinion2017_0.pdf.
[22] Joanna Briggs Institute.JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses[EB/OL]. [2020-04-15].https://joannabriggs.org/sites/default/files/2019-05/JBI_ Critical_ Appraisal- Checklist_for_ Systematic_Reviews 2017_0.pdf.
[23] 王春青,胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015,30(11):964-967. DOI:1002-6975(2015)11-0964-04.
[24] 米元元,沈月,郝彬,等. ICU患者肠内营养支持并发腹泻的循证护理实践[J]. 中华护理杂志, 2017,52(11):1291-1298. DOI:10.3761/j.issn.0254-1769.2017.11.002.
[25] Doherty C, Neal R, English C, et al.Multidisciplinary Guidelines for the Management of Paediatric Tracheostomy Emergencies[J]. Anaesthesia, 2018,73(11):1400-1417.DOI:10.1111/anae.14307.
[26] MPhil DE. Tracheostomy: Dressing[EB/OL]. (2019-07-17)[2020-04-25]. http://ovidsp.dc2.ovid.com/ovid-a/ovidweb.cgi?&S=MDFOFPPCEGEBAPHLIPPJNFOGECDHAA00&Complete+Reference=S.sh.18%7c1%7c1&Counter5=SS_view_found_complete%7cJBI13840%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI13840%7cjbi%7cjbidb%7cjbi.
[27] Sivapuram MS. Tracheostomy: Management of Patients[EB/OL]. (2019-07-04)[2020-04-25]. http://ovidsp.dc2.ovid.com/ovid-a/ovidweb.cgi?&S=DNHOFPOCIGEBAPOKJPPJPFBFEHPOAA00&Complete+Reference=S.sh.18%7c1%7c1&Counter5=SS_view_found_complete%7cJBI244%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI244%7cjbi%7cjbidb%7cjbi.
[28] The Joanna Briggs Institute. Tracheostomy: Suctioning[EB/OL]. (2019-01-23)[2020-04-25]. http://ovidsp.dc2.ovid.com/ovid-a/ovidweb.cgi?&S=DNHOFPOCIGEBAPOKJPPJPFBFEHPOAA00&Complete+Reference=S.sh.36%7c1%7c1&Counter5=SS_view_found_complete%7cJBI2491%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI2491%7cjbi%7cjbidb%7cjbi.
[29] The Joanna Briggs Institute. Tracheostomy: Immediate Postoperative Care[EB/OL]. (2019-07-04)[2020-04-25]. http://ovidsp.dc2.ovid.com/ovid-a/ovidweb.cgi?&S=HDPJFPECBPEBAPLBIPPJFGOGBAIOAA00&Complete+Reference=S.sh.35%7c1%7c1&Counter5=SS_view_found_complete%7cJBI1868%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI1868%7cjbi%7cjbidb%7cjbi.
[30] The Joanna Briggs Institute. Tracheostomy: Tape Changing[EB/OL].(2016-09-15)[2020-04-25].http://ovidsp.dc2.ovid.com/ovid-a/ovidweb.cgi?&S=DNHOFPOCIGEBAPOKJPPJPFBFEHPOAA00&Complete+Reference=S.sh.40%7c1%7c1&Counter5=SS_view_found_complete%7cJBI2354%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI2354%7cjbi%7cjbidb%7cjbi.
[31] Mitchell RB, Hussey HM, Setzen G, et al.Clinical Consensus Statement: Tracheostomy Care[J]. Otolaryngology Head and Neck Surg,2012,148(1):6-20.DOI:10.1177/0194599812460376.
[32] Strychowsky JE, Albert D, Chan K, et al.International Pediatric Otolaryngology Group (IPOG) Consensus Recommendations: Routine Peri-operative Pediatric Tracheotomy Care[J]. Int J Pediatr Otorhinolaryngol, 2016(86):250-255.DOI:10.1016/j.ijporl.2016.03.029.
[33] Yue M, Lei M,Liu Y,et al.The Application of Moist Dressings in Wound Care for Tracheostomy Patients: A Meta-analysis[J]. J Clin Nurs, 2019,28(15-16):2724-2731.DOI:10.1111/jocn.14885.
[34] Russell C.Providing the Nurse with a Guide to Tracheostomy Care and Management[J]. Br J Nurs, 2005,14(8):428-433.DOI:10.12968/bjon.2005.14.8.17934.
[35] Barnett M.A Practical Guide to the Management of a Tracheostomy[J]. J Community Nurs, 2008,22(12):24-26.
[36] Dennis-Rouse MD, Davidson JE.An Evidence-based Evaluation of Tracheostomy Care Practices[J]. Crit Care Nurs Q,2008,31(2):150-160.DOI:10.1097/01.CNQ.0000314475.56754.08.
[37] Higgins D.Tracheostomy Care 3-Dressing[J].Nurs Times,2009,105(6):12-13.DOI:10.7748/ns.30.30.34.s44.
[1] LI Ping, JIN Xiao-wen, LI Yan-ling, XU Yu-lan, YU Jiao-hua, LI Zhuo-ying, LI Ying, DENG Rui. Evidence Summary for Prevention and Management of Poor Bowel Preparation of Adult Patients with Colorectoscopy [J]. Journal of Nursing, 2021, 28(9): 22-28.
[2] REN Li, ZHAO Xiu-fang. Construction of Competency Model and Index System of New Nurses in Maternity and Children’s Hospital Based on Onion Model [J]. Journal of Nursing, 2021, 28(7): 21-25.
[3] FENG Qin, FENG Xian-qiong, HE Qi-ying, FAN Dong-ping, DENG Lan. Mobile Management Program in Bladder Cancer Patients Undergoing Ileum Cystostomy [J]. Journal of Nursing, 2021, 28(6): 61-64.
[4] YANG Jin-xia, YAO Wen-ying, WANG Xin. Effect of Child Medical Assistance Services on School-age Children with Asthma [J]. Journal of Nursing, 2021, 28(6): 71-75.
[5] GAO Xing-lian, YU Wen-jing, XIAO Yao, HU Juan-juan, ZHAO Shi-yu, YANG Ying. Best Evidence Summary for Prevention and Management of Perioperative Stress Injury [J]. Journal of Nursing, 2021, 28(6): 22-26.
[6] ZHU Wei-wei, XU Yang-zi, HUO Wan-jun, CHEN Ci-yu, LI Yuan-tian, LING Dong-lan. Best Evidence Summary for Assessment and Management of Pain in Elderly Patients with Dementia [J]. Journal of Nursing, 2021, 28(5): 32-37.
[7] WANG Ya-ling, WANG Bing-han, ZHANG Yan, YIN Xue, JIANG Xin, XIONG Xiao-ming, LI Hua-li. Best Evidence Summary for Prevention of Hemorrhagic Transformation after Thrombolysis in Patients with Acute Ischemic Stroke [J]. Journal of Nursing, 2021, 28(3): 46-52.
[8] ZHANG Ying, WANG Xiao-ling, YANG Ting, YIN Zhuan-ye, HU Yan. Best Evidence Summary for Cuff Size Selection for Blood Pressure Measurement in Hospitalized Adult Patients [J]. Journal of Nursing, 2021, 28(14): 22-25.
[9] WANG Run, ZHOU Chun-lan, YU Mei, ZHOU Jun-gui, LIU Yu, YANG Li-xiao, YE Xiao-ling. Evidence Summary of Speech and Language Rehabilitation Management in Patients with Post-stroke Aphasia [J]. Journal of Nursing, 2021, 28(11): 16-20.
[10] ZHAO Zi-jia, ZHAO Dan, CHEN Bi-xian, LIN Yan-qun, ZENG Shao-shan, LING Dong-lan. Best Evidence Summary for Non-pharmacological Management in Patients with Postoperative Nausea and Vomiting [J]. Journal of Nursing, 2021, 28(11): 33-39.
[11] ZHANG Lan, LE Qiong, LUO Li, MI Yuan-yuan, LIU Ya-lan, WU Li-fen, SHAO Jun, ZHENG Lan. Best Evidence Summary for Management of Inter-hospital Transport for Newborns [J]. Journal of Nursing, 2021, 28(11): 21-26.
[12] QIN Hong-li, ZHAO Zhen, WANG Yan-fang, LU Ying, WANG Zhi-xia, LI li-ming. Best Evidence Summary for Prevention of Pressure Ulcer in ICU Patients [J]. Journal of Nursing, 2021, 28(10): 45-51.
[13] LI E, YAN Qiu-ping. Complications after Epicardial Permanent Pacemaker Implantation and Nursing: A 68-case Study [J]. Journal of Nursing, 2021, 28(10): 72-74.
[14] XIE Xiao-min, LIANG Ya-hong, FENG Bei, WEI Dan, JIANG Xun. Current Status of Dietary Behavior of Preschool Children and Its Influence Factors: A 240-case Study [J]. Journal of Nursing, 2020, 27(9): 33-37.
[15] MA Ying, YE Jun-rong, HUANG Zhao-jun, XIA Zhi-chun, XU Dan, DENG Ai-ping, LIU Ming-he, LUO Si-li, ZHANG Jian-long. Construction of Evidence-based Sensitive Indicators of Psychiatric Nursing Quality [J]. Journal of Nursing, 2020, 27(9): 27-32.
Viewed
Full text


Abstract

Cited
  Shared   
[1] LIU Jin, LU Na, ZHANG Feng-wa, NIU Xiao-dan, YUAN Rong-jing, LI Wen-yan, WANG Ye-tong, WANG Yan-hong. Influence Factors of Cancer Recurrence Fear in Breast Cancer Patients：A Meta-analysis[J]. Journal of Nursing, 2021, 28(14): 1 -7 .
[2] MENG Yi, SUN Jia-le, TAN Jing. Characteristics of Australia Respite Care and Its Inspiration[J]. Journal of Nursing, 2021, 28(14): 64 -68 .
[3] SONG Shan, WEI Lin, LIU Yang-chen, WANG Qiu-ting, LUO Yao-yue, LIN Mei-zhen. Efficiency Evaluation of Nursing Human Resource Based on DEA-Malmquist Index[J]. Journal of Nursing, 2021, 28(13): 1 -5 .
[4] DING Han-qin, LI Li-hua, HE Xia-jun. Construction of Training System for Nursing Interview Ability of Psychiatric Nurses and Its Reliability and Validity[J]. Journal of Nursing, 2021, 28(13): 6 -12 .
[5] ZHANG Li-xiu, FAN Luo, LI Lin, WANG Xue, WEI Jing-yun, FENG Lan-ling. Construction of Sensitive Index System of Emergency Nursing Quality[J]. Journal of Nursing, 2021, 28(13): 13 -18 .
[6] . [J]. Journal of Nursing, 2021, 28(13): 19 -23 .
[7] . [J]. Journal of Nursing, 2021, 28(13): 24 -28 .
[8] LV Yong-li, WANG Huan-huan, LI Sha-sha, WAN Cheng, WU Pei. Evidence-based Nursing Practice for Prevention and Management of Urinary Retention after Laparoscopic Radical Resection of Cervical Cancer[J]. Journal of Nursing, 2021, 28(13): 29 -33 .
[9] DENG Yang-qing, PAN Cen, WANG Qing-lan, WANG Di. Qualitative Research on Exercise Experience of Patients with Breast Cancer: A Meta-synthesis[J]. Journal of Nursing, 2021, 28(13): 34 -39 .
[10] DENG Bo, LIU Ning, YANG Lin. Scoping Review of Clinical Practice Project Sustainability Assessment Tools[J]. Journal of Nursing, 2021, 28(13): 40 -45 .