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• W3136453586 abstract "Purpose: The purpose of this article is to describe current tracheal suctioning practices of physiotherapists in the province of Ontario and to determine what factors influence these practices. Method: A cross-sectional online survey was conducted. An online survey link and quick response code were mailed to Ontario physiotherapists who were actively providing patient care and were authorized to perform tracheal suctioning as identified by the College of Physiotherapists of Ontario. Results: Ninety physiotherapists participated in the survey (23% response rate). Most (66%) suctioned in an intensive care setting, and many (41%) reported frequently using a closed endotracheal suctioning system. Hyperoxygenation was frequently performed before suctioning by 48% of participants, and only 18% frequently hyperoxygenated after suctioning. Most participants reported infrequently performing saline instillation (52%) and infrequently hyperinflating before suctioning (79%). Clean gloves were reported as the personal protective equipment most frequently worn across all suctioning approaches, and goggles and sterile gloves were least often worn while suctioning. Previous suctioning experience had the most influence on suctioning practices, and limited access to equipment had the least influence. Conclusions: Some of the tracheal suctioning practices of physiotherapists in Ontario vary from evidence-based clinical guidelines.Objectif : décrire les pratiques actuelles d’aspiration de la trachée utilisées par les physiothérapeutes de la province de l’Ontario et déterminer les facteurs qui influencent ces pratiques. Méthodologie : sondage transversal en ligne. Les physiothérapeutes de l’Ontario qui donnaient des soins aux patients et étaient autorisés à effectuer des aspirations trachéales conformément aux données de l’Ordre des physiothérapeutes de l’Ontario ont reçu le lien vers un sondage en ligne et vers un code de réponse rapide. Résultats : au total, 90 physiothérapeutes ont participé au sondage (taux de réponse de 23 %). La plupart (66 %) procédaient à l’aspiration en soins intensifs, et bon nombre (41 %) déclaraient souvent utiliser un système d’aspiration trachéale fermé. De plus, 48 % des répondants utilisaient souvent l’hyperoxygénation avant l’aspiration, mais seulement 18 % y avaient souvent recours après l’aspiration. La plupart des participants ont déclaré instiller rarement du sérum physiologique (52 %) et procéder rarement à l’hyperinflation avant l’aspiration (79 %). Pour toutes les méthodes d’aspiration, les gants propres étaient l’équipement de protection individuelle le plus porté, mais les lunettes et les gants stériles étaient les moins utilisés. Les expériences d’aspiration antérieures avaient le plus d’influence sur les pratiques d’aspiration, et l’accès limité à l’équipement en avait le moins. Conclusion : On constate une variabilité entre les pratiques d’aspiration trachéale des physiothérapeutes de l’Ontario et les directives cliniques fondées sur des données probantes." @default.
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• W3136453586 date "2021-04-01" @default.
• W3136453586 modified "2023-10-03" @default.
• W3136453586 title "Updating the Evidence: Suctioning Practices of Physiotherapists in Ontario" @default.
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• W3136453586 doi "https://doi.org/10.3138/ptc-2019-0113" @default.
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