AARC Clinical Practice Guidelines
Endotracheal Suctioning of Mechanically Ventilated Patients
With Artificial Airways 2010
An electronic literature search for articles published between January 1990 and October 2009 was
conducted by using MEDLINE, CINAHL,...
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AARC Clinical Practice Guidelines
Endotracheal Suctioning of Mechanically Ventilated Patients
With Artificial Airways 2010
An electronic literature search for articles published between January 1990 and October 2009 was
conducted by using MEDLINE, CINAHL, and Cochrane Library databases.
The update of this
clinical practice guideline is the result of reviewing a total of 114 clinical trials, 62 reviews and 6
meta-analyses on endotracheal suctioning.
The following recommendations are made following the
Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria: (1) It
is recommended that endotracheal suctioning should be performed only when secretions are present,
and not routinely; (2) It is suggested that pre-oxygenation be considered if the patient has a
clinically important reduction in oxygen saturation with suctioning; (3) Performing suctioning
without disconnecting the patient from the ventilator is suggested; (4) Use of shallow suction is
suggested inst
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