Sibel KOSTEKLI, Sevim CELIK, Emrah KESKIN

228

Effect of deep and superficial endotracheal suctioning on hemodynamic parameters and pain in neurosurgical intensive care patients

Objective: This study aimed to determine the effects of deep and superficial endotracheal suctioning on hemodynamic parameters and pain level in mechanically ventilated neurosurgical patients. Patients and Methods: This prospective, randomized, controlled experimental study was conducted on 37 patients who underwent deep endotracheal suctioning and 37 patients who underwent superficial endotracheal suctioning using open endotracheal suctioning system. The arterial blood pressure, heart rate, body temperature, respiratory rate, oxygen saturation levels and pain status of the patient were compared before and after endotracheal suctioning at 1 min, 5 min and 30 min. Results: There was no statistically significant difference between the effects of deep and superficial endotracheal suctioning methods (p> 0.05). However, there was less change in systolic and diastolic arterial blood pressure and heart rates in patients who underwent superficial endotracheal suctioning before and 30 min after endotracheal suctioning (p> 0.05). Conclusion: Superficial endotracheal suctioning caused fewer changes in hemodynamic parameters and pain levels of patients compared to deep endotracheal suctioning. For this reason, nurses should first prefer the superficial endotracheal suctioning method during the suctioning practices of neurosurgery patients.
Keywords:

Endotracheal suctioning, Neurosurgery Intensive care, Hemodynamic parameters, Nurse,

PDF

___

  • Credland N. How to perform open tracheal suction via an endotracheal tube. Nurs Stand 2016; 30:30-8. doi: 10.7748/ ns.30.35.36.s46.
  • Elsaman SA. Effect of application of endotracheal suction guidelines on cardiorespiratory parameters of mechanically ventilated patients. IOSR-JNHS 2017; 6:41-8. doi:10.9790/1959.060.1014148.
  • AARC Clinical Practice Guidelines Endotracheal suctioning of mechanically ventilated patients with artificial airways. Respir Care 2010; 55:758-64.
  • Haddad SH, Arabi YM. Critical care management of severe traumatic brain injury in adults. Scand J Trauma Resusc Emerg Med 2012; 20:1-15. doi.org/10.1186/1757-7241-20-12.
  • Irajpour A, Abbasinia M, Hoseini A, Kashefi P. Effects of shallow and deep endotracheal tube suctioning on cardiovascular indices in patients in intensive care units. Iran J Nurs Midwifery Res 2014; 19:366-70.
  • Abbasinia M, Irajpour A, Babaii A, Shamali M, Vahdatnezhad J. Comparison the effects of shallow and deep endotracheal tube suctioning on respiratory rate, arterial blood oxygen saturation and number of suctioning in patients hospitalized in the intensive care unit: a randomized controlled trial. J Caring Sci 2014; 3:157-64. doi: 10.5681/jcs.2014.017.
  • Dastdadeh R, Ebadi A, Vahedian-Azimi A. Comparison of the effect of open and closed endotracheal suctioning methods on pain and agitation in medical icu patients: a clinical trial. Anesth Pain Med 2016; 6:1-8. doi: 10.5812/ aapm.38337.
  • Vatansever HE. Investigation of pain behaviors in patients with mechanical ventilation in surgical intensive care unit. (Unpublished master’s thesis), Higher Education Council, National Thesis Center Database (Thesis no: 156336), 2004. (Original work published in Turkish)
  • Hawthorne C, Piper I. Monitoring of intracranial pressure in patients with traumatic brain injury. Front Neurol 2014; 5:1- 16. doi.org/10.3389/fneur.2014.00121.
  • Yava A, Koyuncu A, Pusat N, Yıldırım V, Demirkılıç, U. Invasive and noninvasive interventions and postoperative pain in cardiac surgery intensive care unit. GKDAYB Journal 2013; 19:184-90. (Original work published in Turkish)
  • Özden D, Görgülü RS. Effects of open and closed suction systems on the hemodynamic parameters in cardiac surgery patients. Nurs Crit Care 2014; 20:118-25. doi: 10.1111/ nicc.12094.
  • Galbiati G, Paola C. Effects of open and closed endotracheal suctioning on intracranial pressure and cerebral perfusion pressure in adult patients with severe brain injury: a literature review. J Neurosci Nurs 2015; 47:239-46. doi: 10.1097/JNN.000.000.0000000146.
  • Khayer F, Ghafari S, Saghaei M, Yazdannik A, Atashi V. Effects of open and closed tracheal suctioning on pain in mechanically ventilated patients. Iran J Nurs Midwifery 2020; 25:426-30. doi: 10.4103/ijnmr.IJNMR_135_18.
  • Mazhari SM, Pishgou’ei A, Zareian A, Habibi H. Effect of open and closed endotracheal suction systems on heart rhythm and arterial blood oxygen level in intensive care unit patients. Iran. J. Crit. Care Nurs 2010; 2:133-7.
  • Payen J, Bru O, Bosson J, et al. Assessing pain in critically ill patients by using a behavioral pain scale. Crit Care Med 2001; 29:2258-63. doi: 10.1097/00003.246.200112000-00004.
  • Teasdale G, Jennett B. Assessment of coma and impaired consciousness. a practical scale. Lancet 1974; 2:81-4. doi. org/10.1016/S0140-6736(74)91639-0.
  • Ribeiro CJN, Fontes Lima AGC, de Araújo SRA, et al. Psychometric properties of the behavioral pain scale in traumatic brain ınjury. Pain Manag Nurs 2019; 20:152-7. doi: 10.1016/j.pmn.2018.09.004.
  • Jongerden IP, Kesecioglu J, Speelberg B, Buiting AG, Leverstein-van Hall MA, Bonten MJ. Changes in heart rate, mean arterial pressure, and oxygen saturation after open and closed endotracheal suctioning: a prospective observational study. J Crit Care 2012; 27:647-54. doi: 10.1016/j. jcrc.2012.02.016.
  • Seymour CW, Cross BJ, Cooke CR, Gallop RL, Fuchs BD. Physiologic impact of closed-system endotracheal suctioning in spontaneously breathing patients receiving mechanical ventilation. Respir Care 2009; 54:367-74.
  • 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; 19:473-77.
  • Bousarri MP, Shirvani Y, Agha-Hassan-Kashani S, Nasab NM. The effect of expiratory ribcage compression before endotracheal suctioning on the vital signs in patients under mechanical ventilation. Iran J Nurs Midwifery Res 2014; 19:285-89.
  • Köstekli S, Çelik S, Keskin E. Evaluation of the effect of endotracheal aspiration at different head heights on oxygenation of the brain by non-invasive method in intensive care patients. J Clin Nurs 2022; 00:1-12. doi: 10.1111/ jocn.16314.
  • Umamaheswara Rao GU. Cerebral perfusion pressure based management of traumatic brain injury. Internet J Anesthesiol 2007; 12:1-8.
  • Faraji A, Khatony A, Moradi G, Abdi A, Rezaei M. Open and closed endotracheal suctioning and arterial blood gas values: a single-blind cross over randomized clinical trial. Crit Care Res Pract 2015; 1:1-5. doi.org/10.1155/2015/470842.
Marmara Medical Journal-Cover
  • ISSN: 1019-1941
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1988
  • Yayıncı: Marmara Üniversitesi
Arşiv
Sayıdaki Diğer Makaleler

Ilknur OKUR AKSAN

Fatıma Zehra SAFAK, Gokhan BICIM, Ayse Mine YILMAZ, Burak AKSU, A. Suha YALCIN

Hilal KURT SEZER, Deniz Sumeyye YORULMAZ, Sibel KUCUKOGLU

Ali Cihat YILDIRIM, Sevil ALKAN CEVIKER, Sezgin ZEREN, Mehmet Fatih EKICI, Faik YAYLAK, Mustafa Cem ALGIN, Özlem ARIK

Ahmet TANYERI, Mehmet Burak CILDAG, Omer Faruk Kutsi KOSEOGLU

Hasan HUSEYIN KOZAK, Ibrahim KILINC, Alpaslan OZKURKCULER

Ahmet Hamdi AKGULLE, Evrim SIRIN, Ozgur BAYSAL, Murat POLAT, Yavuz SAHBAT, Bulent EROL

Hande KAYMAKCALAN, Leyla YALCINKAYA, Emrah NIKEREL, Yalim YALCIN, Weilai DONG, Adife Gulhan ERCAN SENCICEK

Aysegul UCUNCU KEFELI, Aysegul UNAL KARABEY, Umut Efe DOKURLAR, Berna TIRPANCI, Gulsah OZKAN, Aykut Oguz KONUK, Maksut Gorkem AKSU

Muhammed Akif DENIZ, Caglayan CAKIR, Fatih KILINC, Osman KURT, Zelal TAS DENIZ