Chinese Journal of Emergency and Critical Care Nursing >
Interpretation of the group standard “Endotracheal Suctioning Technology for Adult Patients with Inhalation Injury after Tracheotomy”
Received date: 2025-05-16
Online published: 2026-04-28
The group standard entitled Endotracheal Suctioning Technology for Adult Patients with Inhalation Injury after Tracheotomy was released by the China Medical Education Association in November 2023，which standardizes this specialized technique for patients with inhalation injury who have undergone tracheotomy. This paper interprets the key and difficult points of the standard，covering the basic requirements（appropriate ambient temperature and humidity，restricted visitor access，and a comfortable patient posture），pre-suction preparation，and standardized suction timing. Furthermore，it stipulates that location-specific suctioning should be performed in accordance with the top-down anatomical sequence，the suction catheter should be inserted under non-zero negative pressure，and effective prevention，observation，and emergency treatment of critical complications should be well conducted.
Key words： Burns; Inhalation; Tracheostomy; Suction; Airway Management; Critical Care Nursing
WANG Shujun , LU Hongyan , YANG Linna . Interpretation of the group standard “Endotracheal Suctioning Technology for Adult Patients with Inhalation Injury after Tracheotomy”[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(5) : 569 -573 . DOI: 10.3761/j.issn.2096-7446.2026.05.009
| [1] | 申传安. 危重烧伤救治新技术体系[M]. 北京: 人民卫生出版社, 2021. |
| Shen CA. Novel strategies for critical burn care[M]. Beijing: People’s Medical Publishing House, 2021. | |
| [2] | 中华医学会烧伤外科学分会康复与护理学组, 上海护理学会重症监护专委会. 吸入性损伤人工气道护理的专家共识[J]. 海军医学杂志, 2023, 44(1):1-6. |
| Burn Rehabilitation and Nursing Group of Burns Surgery Branch of Chinese Medical Association,Critical Care Nursing Committee of Shanghai Nursing Association. Expert consensus on artificial airway nursing for inhalation injury[J]. J Navy Med, 2023, 44(1):1-6. | |
| [3] | 全国标准信息公告服务平台, 国家标准化管理委员会. 标准化工作导则第1部分:标准化文件的结构和起草规则:GB/T 1.1-2020[S]. http://c.gb688.cn/bzgk/gb/showGb?type=online&hcno=C4BFD981E993C417EF475F2A19B681F1&request_locale=zh. |
| National Standard Information Announcement Service Platform, National Standardization Administration Committee. Directives for standardization—Part 1:Rules for the structure and drafting of standardizing documentsGB/T 1.1-2020[S]. http://c.gb688.cn/bz-gk/gb/showGb?type=online&hcno=C4BFD981E993C417EF475F2-A19B681F1&request_locale=zh. | |
| [4] | 盛志勇, 杨宗城. 烧伤治疗学(第3版)[M]. 北京: 人民卫生出版社, 2006. |
| Sheng ZY, Yang ZC. Burn therapeutics(third edition)[M]. Bei-jing: People’s Medical Publishing House, 2006. | |
| [5] | 孙哲, 王清芬, 汪贵茹, 等. 不同病房温湿度对气管切开患者气道湿化的影响[J]. 中国急救复苏与灾害医学杂志, 2018, 13(1):77-78. |
| Sun Z, Wang QF, Wang GR, et al. Effect of different ward temperature and humidity on airway humidification in patients with tracheotomy[J]. Chin J Emerg Resusc Disaster Med, 2018, 13(1):77-78. | |
| [6] | 胡国庆. GB 15982—2012《医院消毒卫生标准》应知应会80题问答(一)[J]. 中国消毒学杂志, 2023, 40(6):453-456. |
| Hu GQ. Questions and answers on 80 questions about GB 15982:2012 hygienic standard for hospital disinfection(1)[J]. Chin J Disinfect, 2023, 40(6):453-456. | |
| [7] | 邵欣, 王霞, 刘晨霞, 等. 194所三级医院ICU呼吸机相关性肺炎护理实践现状与对策[J]. 中华护理杂志, 2023, 58(21):2617-2623. |
| Shao X, Wang X, Liu CX, et al. Investigation and analysis of nursing prevention and control of ventilator-associated pneumonia in ICUs of 194 tertiary hospitals[J]. Chin J Nurs, 2023, 58(21):2617-2623. | |
| [8] | 何婷, 刘伟, 孙天骏, 等. 吸入性损伤的诊断原则与治疗策略[J]. 中国急救复苏与灾害医学杂志, 2023, 18(12):1672-1677. |
| He T, Liu W, Sun TJ, et al. Diagnostic principles and treatment strategies for inhalation injury[J]. Chin J Emerg Resusc Disaster Med, 2023, 18(12):1672-1677. | |
| [9] | 中华护理学会团体标准管理平台. 成人有创机械通气气道内吸引技术操作[EB/OL].(2021-02-01)[2025-11-26]. https://hltb.kxj.org.cn/uploads/admin/202301/63c769a4501fa.pdf. |
| China Nursing Association Group Standard Management Platform. Endotracheal suctioning in adults receiving invasive mechanical ventilation[EB/OL].(2021-02-01)[2025-11-26]. https://hltb.kxj.org.cn/uploads/admin/202301/63c769a4501fa.pdf. | |
| [10] | 滕娇, 秦寒枝, 郭文超, 等. ICU成人患者人工气道湿化管理的最佳证据总结[J]. 中华急危重症护理杂志, 2022, 3(6):550-555. |
| Teng J, Qin HZ, Guo WC, et al. Best evidence summary for artificial airway humidification management in adult ICU patients[J]. Chin J Emerg Crit Care Nurs, 2022, 3(6):550-555. | |
| [11] | Li J, Albuainain FA, Tan W, et al. The effects of flow settings during high-flow nasal cannula support for adult subjects:a systematic review[J]. Crit Care, 2023, 27(1):78. |
| [12] | 丁娟, 陈晓丽, 肖月, 等. 成人机械通气患者雾化吸入护理的最佳证据总结[J]. 中华护理杂志, 2024, 59(12):1512-1519. |
| Ding J, Chen XL, Xiao Y, et al. Summary of the best evidence on nebulizing inhalation care in adults with mechanical ventilation[J]. Chin J Nurs, 2024, 59(12):1512-1519. | |
| [13] | 郭芝廷, 金静芬. 成批中重度烧伤患者的气道管理[J]. 中华护理杂志, 2015, 50(4):435-438. |
| Guo ZT, Jin JF. Airway management of mass moderate and severe burn casualtie[J]. Chin J Nurs, 2015, 50(4):435-438. | |
| [14] | 中华医学会呼吸病学分会感染学组. 中国成人医院获得性肺炎与呼吸机相关性肺炎诊断和治疗指南(2018年版)[J]. 2018, 41(4):255-280. |
| Infection Group of Respiratory Disease Branch of Chinese Medical Association. Guidelines for diagnosis and treatment of hospital-acquired pneumonia and ventilator-associated pneumonia in China(2018 edition)[J]. Chin J Tubere Respir Dis, 2018, 41(4):255-280. | |
| [15] | 王淑君, 申传安, 李菊清, 等. 大面积烧伤合并吸入性损伤患者气管切开术后吸痰的护理[J]. 中华现代护理杂志, 2013, 19(31):3873-3875. |
| Wang SJ, Shen CA, Li JQ, et al. Nursing care of sputum aspiration after tracheotomy in patients with extensive burn complicated with inhalation injury[J]. Chin J Mod Nurs, 2013, 19(31):3873-3875. | |
| [16] | 王淑君, 鲁虹言, 张燕, 等. 定时分步分段吸痰法在吸入性损伤患者气道管理中的应用[J]. 中华现代护理杂志, 2020, 26(30):4171-4175. |
| Wang SJ, Lu HY, Zhang Y, et al. Application of timed,step-by-step and segmented suction in airway management of patients with inhalation injury[J]. Chin J Mod Nurs, 2020, 26(30):4171-4175. | |
| [17] | Blakeman TC, Brady Scott J, Yoder MA, et al. AARC clinical practice guidelines:artificial airway suctioning[J]. Respir Care, 2022, 67(2):258-271. |
| [18] | Yildirim S, Saygili SM, Süne?li O, et al. Comparison of the effects of open and closed aspiration on end-expiratory lung volume in acute respiratory distress syndrome[J]. Korean J Anesthesiol, 2024, 77(1):115-121. |
| [19] | 鲁虹言, 王淑君, 国聪聪, 等. 集束化护理预防吸入性损伤气管切开患者套管脱出的效果[J]. 中华现代护理杂志, 2017, 23(34):4322-4325. |
| Lu HY, Wang SJ, Guo CC, et al. Effects of bundle care on preventing cannula dislocation for tracheotomy in patients with inhalation injury[J]. Chin J Mod Nurs, 2017, 23(34):4322-4325. | |
| [20] | Kristensen MS, McGuire B. Managing and securing the bleeding upper airway:a narrative review[J]. Can J Anaesth, 2020, 67(1):128-140. |
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