EN
Efficacy of the closed suction applied to patients in intensive care units with different techniques: A nonrandomized controlled trial
Abstract
Objective: The present study was conducted to investigate the effects of the closed suction system and different suction techniques in which oxygen and saline instillation were administered individually or in combination on the efficacy of suction, cardiopulmonary indicators, feelings and pain experienced by patients after suction.
Method: This study was planned as an experimental and cross-sectional one. The study had a single group, and a pre- and post-test design (n=43). This study was planned as a single blind in line with the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND). The study data were collected using the Data Collection Form aiming to assess hemodynamics, cardiopulmonary indicators and comfort and the Visual Analog Scale for Pain to assess pain. Parameters were measured before, during and at the 1st,3rd,5th,7th and 10th minutes after suction using different techniques, and the patients were asked how they felt during the suction. Although the processes were implemented by the researcher, data were recorded not by the researcher but by the other two nurses who voluntarily worked at the clinic.
Results: It was found that the standard suction technique could be better tolerated. The administration of oxygen and saline instillation before suction individually or in combination caused anxiety in patients and affected study parameters statistically significantly.
Conclusions: There was a statistically significant difference between aspiration with SI and other aspiration methods, but this difference was still within normal limits. The patients drew attention to relaxation after suction despite the discomfort they experienced during suction, it can be said that tracheal suction has a vital importance in ensuring the maintenance of airway patency and oxygenation, even though it is a discomforting and painful procedure.
Keywords
Supporting Institution
Yok
Project Number
Yok
Thanks
I would like to thank the intensive care nurses Derya DEDE and Seher AK, who voluntarily supported the recording of the data in this study, and Ziynet Çınar, Faculty Member of the Department of Basic Medical Sciences / Biostatistics, who contributed greatly to the statistical analysis of the study.
References
- 1. Haghighat S, Yazdannik A. The practice of intensive care nurses using the closed suctioning system: An observational study. Iranian Journal of Nursing and Midwifery Research. 2015; 20(5):619-625.
- 2. Craven D.E, Chroneou A, Zias N, Hjalmarson K.I. Ventilator associated tracheobronchitis the impact of targeted antibiotic therapy on patient outcomes. Chest. 2009; 135(2): 521-528.
- 3. Lucchini A, Zanella A, Bellani G. Tracheal Secretion Management in the Mechanically Ventilated Patient: Comparison of Standard Assessment and an Acoustic Secretion Detector. Respiratory Care. 2011; 56(5):596-603.
- 4. Safdar N, Crnich C.J, Mak D.G. The Pathogenesis of Ventilator Associated Pneumonia. its Relevance to Developing Effective Strategies. For Respir Care. 2005; 50(6):725-739.
- 5. Guglielminotti J, Alzieu M, Maury E, Guidet B, Offenstadt G. Bedside detection of retained tracheobronchial secretions in patients receiving mechanical ventilation. Clinical Investigations in Critical Care. 2000; 118: 1095-1099.
- 6. Beuret P, Roux C, Constan A, Mercat A, Brochard L. Discrepancy between guidelines and practice of tracheal suctioning in mechanically ventilated patients; A french multicenter observational study. Intensive care med. 2013; 39: 1335-1336.
- 7. Hamishehar H, Shadvar K, Taghizahed M, Golzari S.E, Mojtahedzahed M, Soleimanpour H, Mahmoodpoor, A. Ventilator associated pneumonia in patients admitted to intensive care units: Using open or closed endotracheal suctioning. Anesthesiology and Pain Medicine. 2014; 4(5): e21649.
- 8. Giakoumidakis K, Kostaki Z, Patelarou E, Baltopoulos G, Brokalaki H. Oxygen Saturation and Secretion Weight After Endotracheal Suctioning. British Journal of Nursing. 2011; 20(21). 1344-1345.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
October 27, 2020
Submission Date
July 24, 2019
Acceptance Date
September 15, 2020
Published in Issue
Year 2020 Volume: 42 Number: 3
AMA
1.Gülsoy Z, Karagözoğlu Ş. Efficacy of the closed suction applied to patients in intensive care units with different techniques: A nonrandomized controlled trial. CMJ. 2020;42(3):290-300. doi:10.7197/cmj.vi.596113