Abstract

The purpose of this study is to extend prior research on the role of adventitious lung sounds as an accurate indicator of the need for endotracheal suctioning (ETS) in adult patients requiring mechanical ventilation and endotracheal intubation. Prior research has demonstrated a link between the presence of adventitious lung sounds and secretions in the tracheobronchial tree. However, many questions still remain unanswered in relationship to: lung sound characteristics, pattern, relationship to the respiratory cycle, volume of airway secretions, and clinical decision making. The following research questions were addressed. (1) What is the pattern of adventitious lung sounds present immediately prior to ETS? (2) How do adventitious lung sounds patterns change after ETS? (3) What is the relationship between adventitious lung sounds volume of tracheobronchial secretions aspirated by ETS? (4) What relationship exists between the degree of importance of rhonchi perceived by the patient's primary nurse, in the decision to suction, and rhonchi measured by computer analysis prior to suctioning?

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9707889; ProQuest document ID: 304240091. The author still retains copyright.

Author Details

Joseph O. Schmelz, PhD, RN

Sigma Membership

Alpha Chi

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Intubation Patients, Intubation Placement, Technology in Nursing Care

Advisor

Margaret Murphy

Degree

PhD

Degree Grantor

Boston College

Degree Year

1996

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2020-08-14

Full Text of Presentation

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