CONCLUSION AND RECOMMENDATIONS
Patients on MV are at high risk for many complications such as infection (ie, VAP) and hemodynamic changes. Clinical routine practice of NSI with suctioning an artificial airway is being done on a daily basis without having a clear evidence-based clinical guideline to support its practice. This can cause many potential complications especially to those patients who are already critical or unstable in terms of their medical conditions. This study found out that suctioning an artificial airway with the use NSI can pose great risks to the patients. It can cause complications such as VAP and hemodynamic changes that are not favorable to the patients’ recovering process. This review does not endorse the use of NSI when suctioning a patient with an artificial airway. Education should be provided to every health care provider regarding the effects of using NSI when suctioning and how it can cause further harm to the patients. It is prudent advice from researchers such as Rauen and colleagues, who reminds us that there is no credible and scientific research information that supports this practice. There are no known studies that have shown that NSI is beneficial, and in addition to its lack of theoretical benefits, researchers found it to be detrimental to the patients.