Effect of Open versus Closed Suction System on Cardiorespiratory Parameters and Suction Duration among Critically Ill Mechanically Ventilated Patients | ||
| Egyptian Journal of Health Care | ||
| Article 32, Volume 10, Issue 2, June 2019, Pages 409-418 PDF (306.3 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2019.196307 | ||
| Author | ||
| Zahra Ahmed Sayed | ||
| Lecturer of Critical Care Nursing, Faculty of Nursing, Aswan University | ||
| Abstract | ||
| Background: Tracheal suction is a procedure that is used to remove secretions and keep the airways clear, however it has a number of side effects. Blood pressure, heart rate, respiratory rate, and oxygen saturation variations are some of the first problems of suctioning. This study was aimed to compare the effects of open versus closed suction system on cardiorespiratory parameters and suction duration among critically ill mechanically ventilated patients. comparative quasi- experimental research design was carried out to meet the aim of this study. A purposive sample included 60 critically ill adult patients undergoing mechanical ventilation taken from general intensive care in Aswan University Hospital. Patient assessment sheet was used for collecting data, which included two parts: bio-demographic data and an assessment sheet to monitor cardiorespiratory parameters as oxygen saturation, heart rate, mean arterial blood pressure and respiratory rates. Results: The mean duration of ICU stay and duration of suction for critically ill adult patients in open and closed suctioning was 12.39 ± 11.74 and 5.10 ± 2.29, respectively (P <0.031*), 15.41 ± 2.37 and 7.50 ± 2.50 seconds, respectively. The mean arterial blood pressure of critically ill adult patients undergoing mechanical ventilation in open and closed suction system methods. No significant differences were observed in the four consecutive measurements. The closed suction system group have a higher mean Oxygen saturation than those in the open group < /div> during suction and immediately after suction measurements (85.53 ± 8.94 vs. 94.03 ± 3.85 and 93.91 ± 5.78 vs. 97.67 ± 2.04 respectively). Conclusion: The implementation of the closed suction system leads to decrease instabilities in the cardiorespiratory parameters compared to open suction system among critical ill adult patients under mechanical ventilation. Recommendation: More research can be replicated on larger sample, and Suction methods can be compared with acquired infection in ICU.. | ||
| Keywords | ||
| close; open suction; cardiorespiratory Parameters; critically ill patients; suction duration and intensive care unit | ||
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