Effects of Open and Closed Suctioning Systems on Pain in Newborns Treated with Mechanical Ventilation

Açıkgöz, Ayfer; Yıldız, Suzan

doi:10.1016/j.pmn.2015.01.002

Cited by 13 publications

(11 citation statements)

References 17 publications

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“…In a study by Acikgoz et al (28), the pain score obtained in infants with an N-PASS scale during OS was slightly higher compared to that obtained during CS.…”

Section: Discussionmentioning

confidence: 81%

Comparison of the Effect of Open and Closed Endotracheal Suctioning Methods on Pain and Agitation in Medical ICU Patients: A Clinical Trial

2016

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BackgroundEndotracheal suctioning is a necessary procedure practiced by nurses in intensive care units to remove lung secretions. This procedure leads to higher oxygenation levels and reduced breathing difficulties. It also prevents atelectasis, pulmonary infections, and the accumulation of secretions.ObjectivesThe present study aims to compare the effectiveness of open and closed endotracheal suction tube systems on pain and agitation in patients under mechanical ventilation.MethodsA randomized controlled clinical trial was conducted in the general intensive care units of Khatam-ol-Anbia hospital and Sina hospital, Tehran, Iran, in 2015. In total, 60 patients who were qualified to be included in the study were randomly assigned to either the intervention group or the control group. When necessary, suction was carried out for each patient using the standard technique. The patients’ level of pain and agitation was measured in both groups at five stages (before, during, immediately after, 5 minutes after, and 15 minutes after the intervention) using the behavioral pain scale and the Richmond agitation sedation scale.ResultsSignificant statistical differences in the pain and agitation at different times within each of the two groups were observed for both open and closed suction (P > 0.001). However, these changes at different times between the two groups was not significant (P < 0.05).ConclusionsAlthough statistical differences were observed in the levels of pain and agitation in the two groups, the type of suction system did not have any effect on the level of pain and agitation of patients under mechanical ventilation. The researchers recommend that other studies with larger sample sizes should be carried out.

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“…In a study by Acikgoz et al (28), the pain score obtained in infants with an N-PASS scale during OS was slightly higher compared to that obtained during CS.…”

Section: Discussionmentioning

confidence: 81%

Comparison of the Effect of Open and Closed Endotracheal Suctioning Methods on Pain and Agitation in Medical ICU Patients: A Clinical Trial

2016

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“…The above-mentioned studies seem to confirm that the N-PASS scale is effective and useful for procedural pain measurement in mechanically ventilated neonates. 36 Abiramalatha et al and Chrysostomou et al in their studies confirmed the efficiency of applying the NIPS and N-PASS scales to evaluate chronic pain experiences in neonates subject to invasive ventilation and receiving opioids. 38,41 Another recommended tool to evaluate procedural pain in mechanically ventilated neonates is the PIPP scale, which was used in a randomized study by Cardoso et al The purpose of the study was to analyse the impact of open and closed suction systems on pain assessment in neonates treated with mechanical ventilation.…”

Section: Resultsmentioning

confidence: 79%

“…Other papers analysed analgesia, the impact of an open and closed sucking system to assess pain experiences in mechanically ventilated neonates, and behavioural reactions in neonates (Table 4). 25,[31][32][33][34][35][36][37][38][39][40][41] Many of the available papers compare both the efficacy of the scales and attempts to validate tools for acute and chronic pain assessment. The analysed material indicates that tools developed to measure acute pain in neonates have to be multidimensional and take into account the combination of physiological and behavioural symptoms.…”

Section: Resultsmentioning

confidence: 99%

“… No reference to the scale. N/A Acikgoz A., Yildiz S. (2015) 36 Experimental study. The aim of this project was to compare the impact of open and closed suctioning systems on pain assessment in newborns treated with mechanical ventilation.…”

Section: Resultsmentioning

confidence: 99%

“… ∗∗∗∗ ∗ ∗∗∗ 8 6 Chrysostomou C., et al, 2014 41 Prospective study. ∗∗∗ ∗ ∗∗∗ 7 7 Acikgoz A., et al, 2015 36 Experimental study. ∗∗∗∗ ∗ ∗∗∗∗ 9 8 Cardoso JM., et al, 2017 37 Randomized study.…”

Section: Data Extractionmentioning

confidence: 99%

See 2 more Smart Citations

<p>Pain Scales in Neonates Receiving Mechanical Ventilation in Neonatal Intensive Care Units – Systematic Review</p>

Popowicz¹,

Kwiecień-Jaguś²,

Olszewska³

et al. 2020

JPR

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Introduction: Recently, interest in the problem of proper prevention and monitoring of pain, especially acute, has been increasing in relation to various age groups. Greater awareness of the problem prompts discussion about the purpose of analgesia in newborns treated with mechanical ventilation. Aim: The purpose of the systematic review was to analyze current research on the use of pain scales in newborns treated with mechanical ventilation in the Neonatal Intensive Care Unit. Methods: Medline databases: PubMed, OVID, EBSCO, Web of Science and Cochrane Library were traced using the appropriate keywords. The search was limited to studies in English. The review took into account the years 2006-2019. Considering the criteria, 12 articles were included in further analysis, to which full access was obtained. Results: The analyzed scientific research showed differences in beliefs about the validity and credibility of the scales used. Researchers indicated that staff with practical experience in using scales in their daily practice was very skeptical of the results obtained on their basis. Conclusion: Based on this review, no explicit evidence can be obtained to support the use of one proper scale in pain assessment. It can be inferred that the COMFORT and N-PASS scales are effective for pain assessment and for determining the need for analgesics in mechanically ventilated neonates. These scales may be equally effective in assessing chronic pain, especially in mechanically ventilated children. On the other hand, the PIPP and CRIES scales are most commonly recommended for assessing acute and postoperative pain.

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The effects of open and closed suctioning systems on neonatal pain and vital signs in neonatal intensive care units

Alaca,

Sari,

Karaöz

et al. 2024

Journal of Pediatric Nursing

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Effects of Open and Closed Suctioning Systems on Pain in Newborns Treated with Mechanical Ventilation

Cited by 13 publications

References 17 publications

Comparison of the Effect of Open and Closed Endotracheal Suctioning Methods on Pain and Agitation in Medical ICU Patients: A Clinical Trial

Comparison of the Effect of Open and Closed Endotracheal Suctioning Methods on Pain and Agitation in Medical ICU Patients: A Clinical Trial

<p>Pain Scales in Neonates Receiving Mechanical Ventilation in Neonatal Intensive Care Units – Systematic Review</p>

The effects of open and closed suctioning systems on neonatal pain and vital signs in neonatal intensive care units

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