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:: 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
Foroogh Zarea * 1, Seyyed Amir Hosein Pishgooie2 , Maryam Roshandel3
1- MSc Student of Critical Care Nursing, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing
2- PhD in Nursing, Assistant Professor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Medical-Surgical Department.
3- MSc in Nursing, Iran, Tehran, Instructor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Community Health Department.
Abstract:   (15118 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]   (4078 Downloads)    
Type of Study: Research | Subject: Special
Received: 2016/05/3 | Accepted: 2016/09/16 | Published: 2016/12/21
References
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Zarea F, Pishgooie S A H, Roshandel M. The effect of standard and routine endotracheal suctioning on hemodynamic indexes of patients admitted to the intensive care unit of AJA selected hospital. MCS 2016; 3 (3) :185-191
URL: http://mcs.ajaums.ac.ir/article-1-130-en.html


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Volume 3, Issue 3 (Military Caring Sciences 2016) Back to browse issues page
علوم مراقبتی نظامی Military Caring Sciences
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