Archive \ Volume.13 2022 Issue 2

Best-Practice Interventions: How Can You Prevent Endotracheal Suctioning Associated Complications?

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This study was carried out to determine the effect of the duration of hyperoxygenation before endotracheal suctioning is the heart rate and oxygen saturation of the patients admitted to the intensive care unit. In this experimental intervention, 42 eligible patients admitted to intensive care units, which were mechanically ventilated, were divided into two groups. In the first group, pre-oxygenation was performed for 1 minute and in the second group was performed 2 minutes before internal suction, and then both groups were subjected to tracheal suctioning. Data were analyzed using various analysis tests with repeated measurements and independent T-tests. The results indicated that the one-minute pre-oxygenation increased the mean oxygen saturation, compared to 5 minutes before suction and during suction, and immediately after suction, there was a significant difference in this increase (p = 0.000). Also, the two-minute pre-oxygenation increased the mean oxygen saturation, which is statistically significant (p = 0.000) compared to other suctioning stages. The result of the ANOVA test showed no significant difference in mean heart rate changes at different stages of suction in the two groups. The results of this study showed that not only does oxygen injection of 100% to the patient one minute and two minutes before and one minute after intestinal suction prevent the loss of arterial oxygen saturation after suction, but it also increases it compared to before suctioning.

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How to cite:
Jahromi FF, Poornoroz N, Najafipoor S, Rahimi M, Najafi M. Best-Practice Interventions: How Can You Prevent Endotracheal Suctioning Associated Complications? Arch Pharm Pract. 2022;13(2):127-31.
Jahromi, F. F., Poornoroz, N., Najafipoor, S., Rahimi, M., & Najafi, M. (2022). Best-Practice Interventions: How Can You Prevent Endotracheal Suctioning Associated Complications? Archives of Pharmacy Practice, 13(2), 127-131.

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1.        Nazmiyeh H, Mirjalali M, Emamimaibodi R. Comparison of the effects of open and closed endotracheal suction on cardiovascular and ventilation parameters for patients undergoing Mechanical ventilation. J Rafsanjan Univ Med Sci. 2010;9(2):97-106.

2.        Mohammadi M, Borhani F, Ahmadinegzad M. Comparison of the effect of lung hyperoxygenation and combination of hyperoxygenation and hyperinflation on arterial blood gas and physiological parameters before and after endotracheal suctioning in critical care patients. J Kerman Univ Med Sci. 2013;3:24.

3.        Hashemi J. Frequency of cardiac dysrhythmia, blood pressure changes, and level of arterial oxygen saturation during endotracheal suctioning in intensive care unit patients. J Guilan Univ Med Sci. 2006;14(56):48-53.

4.        Baun MM, Stone KS, Rogge JA. Endotracheal suctioning: open versus closed with and without positive end-expiratory pressure. Crit Care Nurs Q. 2002;25(2):13-26. 

5.        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. 

6.        Moraveji M. Effect of hyperoxygenation for one and two minutes on PH, Pao2, Paco2, O2sat during endotracheal suctioning in a patient under mechanical ventilation in ICU in Zanjan Vali-e-Asr hospital. 2012;3:1779-82.

7.        Cerqueira Neto ML, Moura ÁV, Cerqueira TC, Aquim EE, Reá-Neto Á, Oliveira MC, et al. Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma. Clinics (Sao Paulo). 2013;68(9):1210-4. 

8.        Soltanian A. Comparison of the effect of open and closed endotracheal suctioning systems on heart dysrhythmia in mechanically ventilated patients. Avicenna J Nurs Midwifery Care. 2013;21(4):5-11.

9.        Musser V. How do you use the shallow-suction technique in children? Am J Nurs. 1992;92(5):79-80, 83.

10.      Guyton A. Text Book of Medical Physiology. Translator: Golestan Jahromi M. Alirezai A: Publication Andishe Roshan. 2014. 

11.      Demir F, Dramali A. Requirement for 100% oxygen before and after closed suction. J Adv Nurs. 2005;51(3):245-51. 

12.      Fernández MD, Piacentini E, Blanch L, Fernández R. Changes in lung volume with three systems of endotracheal suctioning with and without pre-oxygenation in patients with mild-to-moderate lung failure. Intensive Care Med. 2004;30(12):2210-5.

13.      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(6):647-54. 

14.      Oh H, Seo W. A meta-analysis of the effects of various interventions in preventing endotracheal suction-induced hypoxemia. J Clin Nurs. 2003;12(6):912-24. 

15.      Etemadifar S, Nemati S, Aslani Y, Mehralian H. Effects of intratracheal suctioning on hemodynamic parameters and arterial oxygen. Iran J Nurs. 2008;21(54):39-31.

16.      Favretto DO, Silveira RC, Canini SR, Garbin LM, Martins FT, Dalri MC. Endotracheal suction in intubated critically ill adult patients undergoing mechanical ventilation: a systematic review. Rev Lat Am Enfermagem. 2012;20(5):997-1007. 

17.      Bourgault AM, Brown CA, Hains SM, Parlow JL. Effects of endotracheal tube suctioning on arterial oxygen tension and heart rate variability. Biol Res Nurs. 2006;7(4):268-78.

18.      Najafi J. The effect of hyper changes and hyperinflations before and after intraoperative saccharification on arterial blood gases in patients admitted to the heart surgery department of Shahid Faghihi Hospital. Master's thesis, Shiraz University of Medical Sciences, Faculty of Nursing and Midwifery. 2004.

19.      Hall JE, Hall ME. Guyton and Hall textbook of medical physiology e-Book. Elsevier Health Sciences; 2020.

20.      Overend TJ, Anderson CM, Brooks D, Cicutto L, Keim M, McAuslan D, et al. Updating the evidence base for suctioning adult patients: A systematic review. Can Respir J. 2009;16(3):e6-17.

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