Abstract:

Objective To retrieve，evaluate，and integrate evidence for the cooperation of bedside fiberoptic bronchoscopy in mechanically ventilated patients. Methods The decision support system，synthesized evidence summaries，guidelines，systematic review and studies on nursing cooperation with bedside fiberoptic bronchoscopy for patients with mechanical ventilation were searched by computer in domestic and foreign databases and related professional websites. The literature search period was from December 31，2014 to December 31，2024. The literature quality was independently evaluated by 2 researchers. The evidences were extracted and summarized according to the topic. Results According to the inclusion criteria，a total of 11 literatures were selected，including 5 synthesized evidence summaries，3 guidelines and 3 expert consensuses. Through literature reading，evidence extraction and classification，33 pieces of evidence were summarized from 11 topics，including indications，risk assessment，patient preparation，substance preparation，operator management，respiratory management，sedation and analgesia management，complication identification and management，post-examination assessment，infection control management，equipment handling. Conclusion This study summarizes the best evidence for the cooperation of bedside fiberoptic bronchoscopy in mechanically ventilated patients，which can provide reference for nurses to carry out clinical practice. Nursing staff should carefully select and apply evidence in the context of the clinical situation to ensure patient safety and reduce the incidence of related complications.

Key words: Fiberoptic Bronchoscope, Mechanical Ventilation, Operational Cooperation, Anesthesia Nursing, Evidence Summary