Stabilisation of an Endotracheal Tube for the Adult Intensive Care ...

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5. Summary Tables of Research Papers included Short reference Design/Method Sample Description Outcomes/findings Methodological Quality UEX 46 pt with 57 events (10.8%) Reintubation UEX (p
Short reference Clinical question/search strategy Article review method Outcomes/findings Methodological Quality Gardner A, Hughes D, Cook R, Osborne S and Gardner G (2005) Best practice in stabilisation of oral endotracheal tubes: A systematic review, Australian Critical Care. 18(4) 158-165 Which method of ETT stabilisation 1. Results in the least amount of tube displacement; 2. Least amount of unplanned or accidental extubation; 3. Least amount of facial skin, lip/ or oral mucosa breakdown; 4. Is preferred by nurses for the maintenance of oral hygiene. Databases: all relevant Key words: all relevant • Titles and abstracts examined for relevance by all of review group independently • Full papers retrieved when all in agreement AND if there was dispute • Each paper reviewed by two reviewers using a standardised tool • Data extracted for possible metanalysis 1. Papers were of generally poor quality with many variations in outcomes, methodology and quality of writing, changes in protocol 2. No papers adequately controlled for confounders 3. Use of a commercial product reduced the incidence of lip excoriation (OR 0.2 [CI= 0.1-.05] p=
Page 1 and 2: Stabilisation of an Endotracheal Tu
Page 3 and 4: Index Abbreviations and Acronyms...
Page 5 and 6: Executive Summary Invasive ventilat
Page 7 and 8: Clinical Practice Guideline 1. Intr
Page 9 and 10: each recommendation statement using
Page 11 and 12: Number Statement: Clinician Governa
Page 13 and 14: how these variables were defined le
Page 15 and 16: The consequences of migration or mo
Page 17 and 18: Number Statement: General The venti
Page 19 and 20: What method of ETT stabilisation re
Page 21 and 22: External Validation Process In May
Page 23 and 24: Integrative Literature Review Intro
Page 28 and 29: Appendix 1: Data Extraction Tools P
Page 30 and 31: Appendix 2: Survey of current NSW E
Page 32: References Alderson, P(2006) Guidel

Stabilisation of an Endotracheal Tube for the Adult Intensive Care ...

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