Efficacy of the Closed Suction Applied To Patients In Intensive Care Units with Different Techniques: A Nonrandomized Controlled Trial

Abstract

The present study was conducted to investigate the effects of the closed suction system and different suction techniques in which oxygen and saline instillation were administered individually or in combination on the efficacy of suction, cardiopulmonary indicators, feelings and pain experienced by patients after suction. Method: This study was planned as an experimental and cross-sectional one. The study had a single group, and a pre-and post-test design (n=43). This study was planned as a single blind in line with the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND). The study data were collected using the Data Collection Form aiming to assess hemodynamics, cardiopulmonary indicators and comfort and the Visual Analog Scale for Pain to assess pain. Parameters were measured before, during and at the 1 st ,3 rd ,5 th ,7 th and 10 th minutes after suction using different techniques, and the patients were asked how they felt during the suction. Although the processes were implemented by the researcher, data were recorded not by the researcher but by the other two nurses who voluntarily worked at the clinic. Results: It was found that the standard suction technique could be better tolerated. The administration of oxygen and saline instillation before suction individually or in combination caused anxiety in patients and affected study parameters statistically significantly. Conclusions: There was a statistically significant difference between aspiration with SI and other aspiration methods, but this difference was still within normal limits. The patients drew attention to relaxation after suction despite the discomfort they experienced during suction, it can be said that tracheal suction has a vital importance in ensuring the maintenance of airway patency and oxygenation, even though it is a discomforting and painful procedure.

DCCN on the Web

“…There are studies in the literature stating that endotracheal suctioning was a painful procedure. [10][11][12]30 Whereas some of these studies evaluated pain in closed-and open-system suctioning, others conducted research on pain assessment scales. Mohammadpour et al 10 examined changes in pain, oxygenation, and ventilation in open-and closed-system suctioning in cardiovascular surgery ICUs.…”

“…Dastdadeh et al 12 did not consider the presence of pain before the procedure as a criterion for sample selection. In the study by Gulsoy and Karagozoglu, 30 in which they evaluated When the BPS scores were compared by sex.…”

The Effect of Endotracheal Suctioning on Pain in Conscious Adult Patients in Intensive Care Unit

“…There are studies in the literature stating that endotracheal suctioning was a painful procedure 10-12,30 . Whereas some of these studies evaluated pain in closed- and open-system suctioning, others conducted research on pain assessment scales.…”

“…Dastdadeh et al 12 did not consider the presence of pain before the procedure as a criterion for sample selection. In the study by Gulsoy and Karagozoglu, 30 in which they evaluated closed-system suctioning with different methods in terms of hemodynamics and pain, patients with preprocedural pain were also included in the sample. Both studies concluded that the suctioning procedure is painful.…”