2015, Cilt 2, Sayı 2, Sayfa(lar) 082-059
A Controversial Practice Before Endotracheal Suctioning: Is Instillation of Isotonic Sodium Chloride Solution Necessary?
Gülhane Askeri Tıp Akademisi, İç Hastalıkları Hemşireliği, Etlik, Türkiye
Keywords: Endotracheal suctioning, evidence, isotonic sodium chloride solution

The primary care purpose in patients undergoing mechanical ventilation is provide sufficient respiratory and ensure open airway. Endotracheal suctioning is commonly performed invasive method used to clear the airway of secretions and also increase oxygenation.

The rationales for use of isotonic sodium chloride solution before endotracheal suctioning are dilute /loosen secretions, enhance a cough to move secretions and lubricate the suction catheter. However, literature reveals a lack of empirical evidence substantiating use of isotonic sodium chloride solution benefits that use of this method is controversial. In this study, literature results and evidence based practice suggestions related with effects of isotonic sodium chloride solution instillation before endotracheal suctioning on oxygen saturation, heart rate and blood pressure, infection development and patient comfort were discussed.