EFICACIA SOBRE LA INSTILACIÓN DE SUERO FISIOLÓGICO ENDOTRAQUEAL, PREVIO A LA ASPIRACIÓN DE SECRECIONES.

Irene López Martín

Resumen


OBJETIVO: El objetivo de este trabajo es encontrar las evidencias científicas que acrediten la eficacia de instilar suero fisiológico en el tubo endotraqueal previo a la aspiración de secreciones, y los riesgos que su práctica conlleva.

MÉTODOS: se realiza una revisión bibliográfica. La muestra son pacientes adultos ingresados en Unidades de Cuidados Intensivos.

RESULTADOS: Se ha encontrado una gran controversia. La aspiración de secreciones tiene efectos secundarios que pueden agravar la situación basal del paciente, cuando se instilaba suero fisiológico previo eran más duraderos e incluso a veces más graves pero en pocos estudios las diferencias eran significativas estadísticamente como para poder llegar a una conclusión. No se han encontrado más beneficios al instilar suero fisiológico previo.  

Por ello, no se aconseja su uso rutinario. Por tanto es importante conocer las formas de prevención de formación de secreciones en el tubo endotraqueal.


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