Stabilisation of an Endotracheal Tube for the Adult Intensive Care ...
Stabilisation of an Endotracheal Tube for the Adult Intensive Care ...
Stabilisation of an Endotracheal Tube for the Adult Intensive Care ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Short reference Clinical question/search strategy Article review method Outcomes/findings Methodological Quality<br />
Gardner A, Hughes D, Cook R,<br />
Osborne S <strong>an</strong>d Gardner G (2005)<br />
Best practice in stabilisation <strong>of</strong> oral<br />
endotracheal tubes: A systematic<br />
review, Australi<strong>an</strong> Critical <strong>Care</strong>. 18(4)<br />
158-165<br />
Which method <strong>of</strong> ETT stabilisation<br />
1. Results in <strong>the</strong> least amount<br />
<strong>of</strong> tube displacement;<br />
2. Least amount <strong>of</strong> unpl<strong>an</strong>ned<br />
or accidental extubation;<br />
3. Least amount <strong>of</strong> facial skin,<br />
lip/ or oral mucosa breakdown;<br />
4. Is preferred by nurses <strong>for</strong><br />
<strong>the</strong> mainten<strong>an</strong>ce <strong>of</strong> oral<br />
hygiene.<br />
Databases: all relev<strong>an</strong>t<br />
Key words: all relev<strong>an</strong>t<br />
• Titles <strong>an</strong>d abstracts examined <strong>for</strong><br />
relev<strong>an</strong>ce by all <strong>of</strong> review group<br />
independently<br />
• Full papers retrieved when all in<br />
agreement AND if <strong>the</strong>re was<br />
dispute<br />
• Each paper reviewed by two<br />
reviewers using a st<strong>an</strong>dardised<br />
tool<br />
• Data extracted <strong>for</strong> possible<br />
met<strong>an</strong>alysis<br />
1. Papers were <strong>of</strong> generally poor quality with<br />
m<strong>an</strong>y variations in outcomes, methodology<br />
<strong>an</strong>d quality <strong>of</strong> writing, ch<strong>an</strong>ges in protocol<br />
2. No papers adequately controlled <strong>for</strong><br />
confounders<br />
3. Use <strong>of</strong> a commercial product reduced <strong>the</strong><br />
incidence <strong>of</strong> lip excoriation (OR 0.2 [CI=<br />
0.1-.05] p=
Change language