Erschienen in:
01.06.2004 | Editorial
What does chest physiotherapy do to sick infants and children?
verfasst von:
Andrew C. Argent, Brenda M. Morrow
Erschienen in:
Intensive Care Medicine
|
Ausgabe 6/2004
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Excerpt
Endotracheal suctioning (ET) and chest physiotherapy (CP) are part of the accepted care of intubated children in many paediatric intensive care units in spite of a limited evidence-base [
1,
2], largely because of the risks of endotracheal tube obstruction. A wide variety of deleterious effects of ET on children and infants have been reported including bacteraemia [
3], lobar atelectasis [
4,
5], hypoxia [
6], decreased cerebral oxygenation [
7,
8], hypertension and raised intracranial pressure [
9,
10], pneumothoraces [
11] and death. Some of the side effects may be minimised by reduction of suction pressure and limitation of the depth of insertion of the suction catheter [
5], appropriate pre-oxygenation [
12,
13], adequate sedation and analgesia [
14] and muscle paralysis [
9]. …