Endotracheal Suctioning Knowledge And Practice Among Critical Care Practitioners In Intensive Care Units

This study was carried to assess Endotracheal Suctioning Knowledge and Practice among Critical Care Practitioners in Intensive Care Units at University of Calabar Teaching Hospital, Calabar, Cross River State. Endotracheal suctioning (ETS) is a vital procedure in the management of critically ill patients requiring mechanical ventilation in intensive care units (ICUs). Proper knowledge and practice of ETS are essential for ensuring airway patency, preventing complications, and optimizing patient outcomes. This study aims to assess the knowledge and practice of ETS among critical care practitioners at the University of Calabar Teaching Hospital, Calabar, Cross River State. 

A cross-sectional descriptive study was conducted among critical care practitioners, including nurses, respiratory therapists, and physicians, working in the ICUs of the University of Calabar Teaching Hospital. Data were collected using a structured questionnaire that assessed participants' knowledge of ETS indications, techniques, and complications, as well as their adherence to best practices. The collected data were analyzed using descriptive statistics, and the relationship between knowledge levels and adherence to best practices was evaluated. The findings revealed varying levels of knowledge and practice among the critical care practitioners. While a majority demonstrated adequate understanding of the indications for ETS, gaps were identified in the areas of technique, particularly in the use of aseptic practices and appropriate suction pressures. 

Adherence to standardized protocols was inconsistent, with some practitioners deviating from recommended practices, potentially increasing the risk of complications such as hypoxemia and infection. Furthermore, a significant correlation was found between the level of knowledge and adherence to best practices, indicating that those with higher knowledge scores were more likely to follow established protocols. The study concluded that there is need for continuous education and training to enhance the knowledge and practice of ETS among critical care practitioners in the University of Calabar Teaching Hospital. Regular competency assessments and the standardization of ETS protocols are recommended to ensure uniformity in practice and to minimize the risk of adverse outcomes. Implementing these strategies could lead to improved patient care and safety in the ICU setting.