AARC clinical practice guideline: Effectiveness of nonpharmacologic airway clearance therapies in hospitalized patients

  • Benevides M
  • Oliveira S
  • Aguilar-Nascimento J
 et al. 
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BACKGROUND: 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

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  • Márcio Luiz Benevides

  • Sérgio De Souza Oliveira

  • José Eduardo Aguilar-Nascimento

  • Aarc Cpg

  • Daniel a De Luis

  • Jesus M Jm Culebras

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