Identifier: TFG:894
Authors: Carrasco Castillo, Sergio
Abstract:
Abstract: Objetive: The aim of our literature review is to describe the changes in intracranial pressure (ICP) when performing endotracheal suctioning of secretions in intensive care units for patients with severe traumatic brain injury (TBI). Methodology: A literature review where the following databases were consulted: PubMed, CINAHL, COCHRANE and GOOGLE SCHOLAR. In addition to this,a inversa research was also performed from the literature mentioned by other authors. Results: After the search items that exceeded the limits defined by the criteria of exclusion and inclusion, with a score of twelve articles of which 5 are prospective studies, 2 clinical trials, 3 literature reviews were included and finally a study analytical and other observational. The analysis of the items can be identified four different areas: Impact of suctioning on ICP, compared open and closed suction system, the use of drugs in order to reduce the impact on the ICP and times recovery after aspiration. Discussion: Finally, this paper concludes the importance of the state of sedo-analgesia in which the patient must be for the technique of suctioning is done with safety guarantees. In addition there seems to be evidence in favor of closed suction system. Finally it seems that muscle relaxants and lidocaine can help reduce the impact of suction on the PIC. Key Words: Intracranial Hypertension, intracranial pressure, craniocerebral trauma, suction, critical care nursing
Repositori URV