Risk in Tracheal Aspiration and Nursing Practice - Systematized Literature Review



Objective: To identify what is already found in the specialized literature about the highly complex patient at risk of aspiration and the interaction of Nursing with him. Methods: This is an integrative review, which is a research method that allows the synthesis of published studies and generates general conclusions. For this study, the steps were followed: construction of the guiding question through the selection of the theme; the search for descriptors through the controlled vocabulary Descriptors in Health Sciences (DECS) and Medical Subject Headings Section (MESH), using the PICOT strategy and the establishment of inclusion and exclusion criteria. Results: In order to avoid complications, it is up to the nursing professional to perform this procedure properly and with a technical basis. The lack of knowledge of the nursing professional about pulmonary physiology and the management of mechanical ventilation generates a departure from the ventilator itself, leading the professional to act beyond what is required of his care production in certain situations of artificial respiration in that quick decision and immediate decision making can be crucial in therapy. Conclusion: It is recommended, intensify research on the subject so that it can better evidence the failures and possibilities for improvement, in order to assist the practice in Nursing so that one can find the most scientifically proven way of acting


Nursing; Risk; Respiratory Aspiration

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Bispo MM, Dantas ALM, Silva PKA, Fernandes MICD, Tinôco JDS, Lira ALBC. Diagnóstico de enfermagem risco de aspiração em pacientes críticos. Esc Anna Nery [Internet]. 2016 [cited 2020 set 23];20(20):357-362.Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452016000200357&lng=en&nrm=iso .

Doi: https://doi.org/10.5935/1414-8145.20160049

Oliveira ARS, Costa AGS, Morais HCC, Cavalcante TF, Lopes MVO, Araujo TL. Clinical factors predicting risk for aspiration and respiratory aspiration among patients with Stroke. Rev Latino-Am Enferm [Internet]. 2015 [cited 2020 set 23]; 23(2):216-224. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692015000200006&lng=en&nrm=iso Doi: https://doi.org/10.1590/0104-1169.0197.2545

Frota OP, Loureiro MDR, Ferreira AM. Aspiração endotraqueal por sistema aberto: práticas de profissionais de enfermagem em terapia intensiva. Esc Anna Nery [Internet]. 2014 [cited 2020 set 23];18(2):296-302. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452014000200296&lng=en&nrm=iso


Cestari VRF, Florêncio RS, Moreira TMM, Pessoa VLMP, Barbosa IV, Lima FET, et al. Competências do enfermeiro na promoção da saúde de indivíduos com cardiopatias crônicas. Rev Bras Enferm [Internet]. 2016 [cited 2020 set 25]; 69(6): 1195-1203.Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672016000601195&lng=en&nrm=iso

Doi: http://dx.doi.org/10.1590/0034-7167-2016-0312

Melo EM,Silva SS,Marques AM, Aguiar ICV, Silva JLA, Aguiar LBG. Conhecimento do enfermeiro de unidade de terapia intensiva sobre o procedimento de aspiração endotraqueal. Rev Enferm UFPI [Internet]. 2014 Jul-Sep [cited 2020 set 25];3(3):58-65. Available from: https://www.ojs.ufpi.br/index.php/reufpi/article/view/1987/pdf

Oliveira APV, Gomes GC, Romeu BR, Dei Svaldi JS, Machado GS. Protocolo assistencial de enfermagem a portadores de traqueostomia em ventilação mecânica. hu rev [Internet]. 2016 [citado 2020 nov 9];42(1). Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/2353

Ferreira A, Lima D, Christovam B, Silvino Z. Endotracheal suctioning in intensive care unit: an integrative review. J Nurs UFPE on line [Internet]. 2013 Jun [Cited 2020 Nov 10]; 7(7): 4910-4917. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11750

Barbosa AL, Cardoso MVLML, Brasil TB, Scochi CGS. Endotracheal and upper airways suctioning: changes in newborns physiological parameters. Rev Latino-Am Enferm [Internet]. 2011 Dec [cited 2020 nov 9]; 19(6): 1369-1376. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692011000600013&lng=en Doi:https://doi.org/10.1590/S0104-11692011000600013.

Favretto DO, Silveira RCCP, Canini SRMS, Garbin LM, Martins FTM, Dalri MCB. Endotracheal suction in intubated critically ill adult patients undergoing mechanical ventilation: a systematic review. Rev Latino-Am Enferm [Internet]. 2012 Oct [cited 2020 nov 9]; 20(5): 997-1007. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692012000500023&lng=en

Doi: https://doi.org/10.1590/S0104-11692012000500023.

Cavalcante TF, Araújo TL, Moreira RP, Guedes NG, Lopes MVO, Silva VM. Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident. Rev. Latino-Am. Enfermagem [Internet]. 2013 Feb [cited 2020 nov 10]; 21(spe): 250-258. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692013000700031&lng=en Doi:https://doi.org/10.1590/S0104-11692013000700031.

URN: http://www.jsncare.uff.br/index.php/jsncareurn:nbn:de:1983-4152jsncare.v13i1.33698

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