:: Volume 3, Issue 3 (Military Caring Sciences 2016) ::
MCS 2016, 3(3): 185-191 Back to browse issues page
The effect of standard and routine endotracheal suctioning on hemodynamic indexes of patients admitted to the intensive care unit of AJA selected hospital
F. Zarea. 1, A. Pishgooie2
1- AJA University of Medical Sciences, Faculty of Nursing
2- AJA University of Medical Sciences, Faculty of Nursing, Medical-Surgical Department.
Abstract:   (12579 Views)

Introduction: Suctioning the airways through an endotracheal tube is an important intervention to manage patients under mechanical ventilation, which is usually performed by nurses and if not accomplished properly, it can cause lots of side-effects.

Objectives: The aim of this research was to determine the effects of standard and routine endotracheal suctioning on hemodynamic indexes of patients admitted to intensive care unit.

Materials and Methods: This was a clinical trial conducted at Besat hospital in Tehran in 2015. After preparing the instruction of standard suction by the researcher and validity confirmation, standard suction (by researcher) , and in the second turn routine suction (by the nurse of patient) , or conversely was performed for 36 patients considering their needs, randomly by tossing coin. HR, O2Sat and PIP were recorded just before and immediately, 5, 10 and 15 minutes after the procedure. Data were analyzed with independent t-test and ANOVA with repeated measurement.

Results: there was no significant difference in the mean O2Sat between the two groups before the procedure, but a significant increase was observed immediately, 5, 10 and 15 minutes after the standard procedure. HR and PIP did not change significantly between the two groups.

Discussion and Conclusion: considering the necessity of endotracheal suctioning for cleaning the secretions, by performing it in a correct way, conducting hyper-oxygenation before suctioning for 30-60 seconds and after that for one minute, reducing its time to less than 15 seconds, and using a catheter with a diameter less than the half of endotracheal internal diameter, we can reduce the side-effects, as well as preventing hypoxia in patient.

Keywords: Endotracheal tube, Endotracheal tube suctioning, Hemodynamic, Mechanical ventilation, Vital sign.
Full-Text [PDF 280 kb]   (2135 Downloads)    
Type of Study: Research | Subject: Special
Received: 2016/05/3 | Accepted: 2016/09/16 | Published: 2016/12/21
References
1. Esteban A, Frutos-Vivar F, Muriel A, Ferguson ND, Penuelas O, Abraira V, et al. Evolution of mortality over time in patients receiving mechanical ventilation. Am J Respir Crit Care Med. 2013;188(2):220-30. DOI: 10.1164/rccm.201212-2169OC PMID: 23631814 [DOI] [PubMed]
2. Pedersen CM, Rosendahl-Nielsen M, Hjermind J, Egerod I. Endotracheal suctioning of the adult intubated patient--what is the evidence? Intensive Crit Care Nurs. 2009;25(1):21-30. DOI: 10.1016/j.iccn.2008.05.004 PMID: 18632271 [DOI] [PubMed]
3. Maggiore SM, Lellouche F, Pignataro C, Girou E, Maitre B, Richard JC, et al. Decreasing the adverse effects of endotracheal suctioning during mechanical ventilation by changing practice. Respir Care. 2013;58(10):1588-97. DOI: 10.4187/respcare.02265 PMID: 23466423 [DOI] [PubMed]
4. Mohammadi N, Parviz S, Peyravi H, Hosseini Agha F. Effect of endotracheal suctioning education for nurses on patients' hemodynamic parameters. J hayat. 2012;18(2):38-46.
5. American Association for Respiratory C. AARC Clinical Practice Guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. Respir Care. 2010;55(6):758-64. PMID: 20507660 [PubMed]
6. Brunner L, Smeltzer S, Bare B, Hinkle J, Cheever K. Brunner & suddarth's textbook of medical-surgical nursing: Lippincott Williams & Wilkins; 2010.
7. Pierce LN. Management of the mechanically ventilated patient: Saunders; 2007.
8. Taylor C, Lillis C, LeMone P. Fundamental of Nursing. Dimensions Of Critical Care Nursing. 1990;9(1):28. DOI: 10.1097/00003465-199001000-00006
9. Gillies D, Spence K, Gillies D. Deep versus shallow suction of endotracheal tubes in ventilated neonates and young infants. 2011. DOI: 10.1002/14651858.CD003309.pub2
10. Frota OP, Loureiro MDR, Ferreira AM. Open system endotracheal suctioning: practices of intensive care nursing professionals. Escola Anna Nery - Revista de Enfermagem. 2014;18(2). DOI: 10.5935/1414-8145.20140043
11. Ally Tatu S. Knowledge and practice of intensive care nurses on prevention of ventilator associated pneumonia at Muhimbili national hospital, Dar es Salaam, Tanzania: Muhimbili University of Health and Allied Sciences; 2012.
12. Afshari A, Safari M, Oshvandi K, Soltanian AR. The Effect of the Open and Closed System Suctions on Cardiopulmonary Parameters: Time and Costs in Patients Under Mechanical Ventilation. Nursing and Midwifery Studies. 2014;3(2). DOI: 10.5812/nms.14097
13. Yousefi H, Vahdatnejad J, Yazdannik AR. Comparison of the effects of two levels of negative pressure in open endotracheal tube suction on the physiological indices among patients in intensive care units. Iran J Nurs Midwifery Res. 2014;19(5):473-7. PMID: 25400674
14. Özden D, Görgülü R. Effects of open and closed suction systems on the haemodynamic parameters in cardiac surgery patients. Nurs Crit Care. 2015;20(3):118-25.



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