Endotracheal Tube Nursing Care: Current Evidence

Document Type : Original Article

Authors

1 Specialist Nurse, Mansoura University Hospital, Mansoura University, Egypt

2 Assist. Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt

3 Professor of Chest Medicine, Mansoura University Hospital, Mansoura University

4 Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt

Abstract

Background:Endotracheal intubation is a common clinical procedure applied for protecting critically ill patient's
airway, and supporting their ventilation needs through the insertion of a large-bore, flexible, plastic tube in the
trachea between the vocal cords called an endotracheal tube. Endotracheal tube care is an essential nursing practice
for maintaining patient safety. The incompetent endotracheal tube care can increase patients’ hospital stay, treatment
costs, and morbidity and mortality. The literature highlighted that until now nurses’ practices depend greatly on
rituals and traditions. Critical care nurses are assigned to deliver safe nursing care directed by the best evidence.
Most incompetent nursing care for intubated patients may be due to a lack of nurses’ awareness and knowledge of the
current evidence-based practice. To optimize nursing care quality; the nursing practice should be fed by scientific
knowledge and standardized evidence-based practice. Hence, this review aims to highlight the recent evidence
related to endotracheal tube nursing care.

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