Effects of expiratory ribcage compression before endotracheal suctioning on arterial blood gases in patients receiving mechanical ventilation

Kohan, M; Rezaei‐Adaryani, Morteza; Najaf-Yarandi, A; Hoseini, Fatemeh; Mohammad-Taheri, Nahid

doi:10.1111/nicc.12090

Cited by 10 publications

(12 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, patients complain about pain and discomfort and a feeling of suffocation during suctioning 7 . These effects lead to an increase in the patient's stay in hospital and intensive care unit and impose on-going costs to the patient and family 8 . Despite all these complications, patients believe it is necessary and makes breathing easier 7 .…”

Section: Introductionmentioning

confidence: 99%

Effect of Endotracheal Suctioning with and without Normal Saline on Hemodynamic and Respiratory Parameters in Patients Undergoing Mechanical Ventilation in ICU of Hospitals Supervised by Guilan University of Medical Sciences

Adib¹,

Khanghah

Alavi³

et al. 2014

Biomed. Pharmacol. J.

View full text Add to dashboard Cite

Airway suction is one of the most popular methods for drainage airways in patients with artificial airway; thus, correct suction of airways is important. Hence, the purpose of this study is to determine the effects of suction methods with and without normal saline on hemodynamic and respiratory patients. This randomized crossover clinical trial was conducted on two groups consisting of 37 mechanically ventilated patients by suctioning with and without normal saline. After at least 2 hours, the second stage was conducted and the patients were displaced in groups A and B. respiratory and hemodynamic parameters were measured at different intervals. The average age of patients was 21.8 ± 51.2; in terms of consciousness, 70% of patients were Sedate. Systolic blood pressure (P = 0.20), diastolic blood pressure (P <0.0001), average arterial pressure (P <0.0001) and heart rate (P <0.0001) increased over time immediately after the suction and then declined; in approximately 5 minutes after suction, it approached its baseline. This difference was significant in other cases except for systolic blood pressure. The mean respiratory rate, mean airway pressure, mean oxygen-saturated haemoglobin, mean end-tidal carbon dioxide were similar in both suction groups with and without normal saline during different time steps and no significant differences were observed. As long as there is no sufficient evidence to use normal saline on endotracheal suctioning, this method is not recommended to be used routinely. It is recommended to substitute strategies such as airway hydration, adequate hydration of patients, early mobilization of patients and administration of mucolytic drugs.

show abstract

Section: Introductionmentioning

confidence: 99%

Effect of Endotracheal Suctioning with and without Normal Saline on Hemodynamic and Respiratory Parameters in Patients Undergoing Mechanical Ventilation in ICU of Hospitals Supervised by Guilan University of Medical Sciences

Adib¹,

Khanghah

Alavi³

et al. 2014

Biomed. Pharmacol. J.

View full text Add to dashboard Cite

show abstract

“…Gas exchange impairment may cause serious complications such as respiratory acidosis, cyanosis, and lethal cardiac dysrhythmias, this problem is more severe in patients connected with mechanical ventilation, because the intubation causes irritation of the mucus-producing goblet cells, causing increased of mucous [ 2 ]. Therefore, prevention of such complications is among the goals of care for these patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt

Khalil

Ismaeel²,

Askar

et al. 2021

Egypt J Bronchol

View full text Add to dashboard Cite

Background Manual hyperinflation and expiratory rib cage compression are methods of chest physiotherapy. They are commonly applied but their value and their early utilization managing mechanically ventilated remain questionable. The purpose of the study was to investigate the effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients. Results Seventy mechanically ventilated patients at a teaching hospital in Egypt were assigned to the clinical trial study. The age of more than half of the studied samples ranged between 60 and 69 years with a mean age of 53.64 ± 16.44 years. Initially, the ABG parameters were assessed. Then, the patients were exposed to manual hyperinflation for 5 min and 20 min external expiratory chest compression followed by endotracheal suctioning. Later, ABG parameters were assessed again and compared to the initial one. The findings revealed significant differences in ABG parameters before and after completion of MHI and ERCC and ETT suctioning in relation to PaO2 (t = 3.892) and SaO2 (t= 5.904). Also, it showed significant improvement in PaO2 and SaO2 after the completion of interventions, while no significant differences were found in other ABG parameters. This study was registered retrospectively with an ISRCTN number 39983 on 5/6/2021. Conclusion Applying manual hyperinflation with rib cage compression and endotracheal suctioning improved mainly the arterial oxygenation parameters in mechanically ventilated patients despite no significant changes observed in other ABG parameters.

show abstract

“…The operator attempted to give expiratory rib cage compression over the part of the ribcage that included the most affected lung region, from the end of inspiration to the end of expiration. [ 2 ] How was the patients' position determined in your study?…”

mentioning

confidence: 99%

Expiratory rib cage compression, endotracheal suctioning, and vital signs

Kohan

Mohammad-Taheri

2016

Iranian J Nursing Midwifery Res

Self Cite

View full text Add to dashboard Cite

Effects of expiratory ribcage compression before endotracheal suctioning on arterial blood gases in patients receiving mechanical ventilation

Abstract: Improving PaO2 /FiO2 levels means less need for oxygen therapy. Hence, by applying ERCC we can at least minimize the side effects of oxygen therapy.

Cited by 10 publications

References 12 publications

Effect of Endotracheal Suctioning with and without Normal Saline on Hemodynamic and Respiratory Parameters in Patients Undergoing Mechanical Ventilation in ICU of Hospitals Supervised by Guilan University of Medical Sciences

Effect of Endotracheal Suctioning with and without Normal Saline on Hemodynamic and Respiratory Parameters in Patients Undergoing Mechanical Ventilation in ICU of Hospitals Supervised by Guilan University of Medical Sciences

Effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt

Expiratory rib cage compression, endotracheal suctioning, and vital signs

Contact Info

Product

Resources

About