Airway Clearance of the Term Newborn

MCN. the American Journal of Maternal Child Nursing
Brandi R HarbinPamela V OʼNeal

Abstract

The purpose of this study was to explore airway clearance practices for the preterm newborn in the neonatal intensive care unit (NICU). This descriptive, retrospective medical record review analyzed airway clearance practices in a level III regional NICU from 2016 to 2017 in preterm newborns ranging from 32 weeks to 36 weeks and 6 days. There were 87 preterm newborns and 384 suctioning events reviewed during the entire length of stay. Practices reviewed include device used, frequency, color, consistency, and tolerance of airway clearance. Method of nursing documentation for these practices was also reviewed. Babies born via cesarean required more suctioning (65.5%). Males (60.9%) required more airway clearance events than females (39.1%). After suction events, nurses reported no distress (74%), equal bilateral breath sounds (30%), desaturation (6%), and collectively color change, apnea, or bradycardia (<1%). The most common discharge diagnosis was respiratory distress syndrome (90%). Preterm newborns were suctioned with the blue bulb syringe (15.6%), oral/nasal-pharyngeal suction device (42.7%), and endotracheal suction devices (41.7%). Electronic medical records promote less detailed, narrative documentation and more point and...Continue Reading

References

Sep 2, 2009·Neonatal Network : NN·Denice L Gardner, Lee Shirland
Apr 6, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Bonnie J StevensUNKNOWN CIHR Team in Children's Pain
Jan 10, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·J S AnadkatA Hamvas
Jan 26, 2013·Paediatric Respiratory Reviews·Martin O EdwardsSailesh Kotecha
Mar 28, 2013·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Brenda MannEsther Chipps
Jun 10, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·V Modarres NejadG Shafiee
Jul 28, 2015·JAMA Pediatrics·Wade Harrison, David Goodman
Oct 16, 2015·Revista Brasileira de terapia intensiva·Roberta Lins GonçalvesMarcos Giovanni Santos Carvalho

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Related Papers

Journal of Perinatology : Official Journal of the California Perinatal Association
E Sell
The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Guangyong YeYuanluo Le
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
Zi-Ming Zhang, Lei Xiang
© 2022 Meta ULC. All rights reserved