Summary of best evidence for artificial airway management in children
10.3760/cma.j.cn115682-20221028-05228
- VernacularTitle:儿童人工气道管理的最佳证据总结
- Author:
Ying LI
1
;
Jinli GUO
;
Jiaying ZHENG
;
Liyao TIAN
;
Tingting SONG
;
Juan JI
;
Jing ZHANG
Author Information
1. 山西省儿童医院（山西省妇幼保健院）ICU，太原 030013
- Keywords:
Child;
Critical illness;
Artificial airway;
Evidence-based nursing;
Best evidence
- From:
Chinese Journal of Modern Nursing
2023;29(24):3308-3315
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and integrate the evidence from both domestic and international sources on the management of artificial airways in children.Methods:All evidence on the management of artificial airways in children, including clinical decisions, evidence-based guidelines, expert consensus, best clinical practice manuals, evidence summaries, systematic reviews and so on was retrieved through computer on UpToDate, Cochrane Library, Joanna Briggs Institute (JBI) Evidence-based Healthcare Center Database in Australia, Guidelines International Network, National Guideline Clearinghouse, American Association for Respiratory Care, PubMed, Medline, CINAHL, China Biomedical Medline Disc, China National Knowledge Infrastructure, WanFang Data, Medlive, and other databases and websites. The search period was from database establishment to April 30, 2022. We evaluated the quality of the included literature, extracted and integrated evidence, determined the level of evidence recommendation.Results:A total of 24 articles were included, including four clinical decisions, six evidence-based guidelines, one systematic review, six expert consensus, one evidence summary, one industry standard, four best clinical practice manuals, and one original study. Finally, 36 recommendations were summarized from five aspects, including artificial airway establishment, airbag management, airway humidification, endotracheal suction and prevention of complication.Conclusions:Artificial airway management in children is crucial for the treatment of critically ill children. The summary of the best evidence can provide a theoretical basis for the standardized management of artificial airways in children.
