Nursing & Care


Pain Management during Endotracheal Tube Suctioning: An Evidence-Based Approach for Nurses

Qianwen Ruan, Isti Haniyatun Khasanah, Ornuma Kongkeaw and Khomapak Maneewat

Background: Endotracheal tracheal tube suctioning (ETS) is one of the most common forms of pain facing by critically ill adult patients. Inadequate pain management during ETS is however, still evidenced. Optimal pain management during ETS is highly needed.

Objectives: The purpose of this study is to develop evidence-based nursing interventions to manage pain during ETS.

Methodology: The step in conducting integrative review was employed. A set of recommendations to manage pain during ETS was synthesized. A set of nursing intervention recommendations was also developed in check-list form and algorithm. The final draft was discussed with experts in clinical setting.

Results: A set of evidence-based nursing intervention to manage pain related ETS consists of the recommendations for pain management before ETS, the management of pain during ETS and, the management of pain after ETS.

Conclusion: Evidence-based interventions to manage pain during ETS were feasible to manage pain in adult. This intervention should be further utilized in combination with other guidelines as well as to other healthcare providers.