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Showing 2 results for Endotracheal Suction
Mohammadi Nooredin, Shohreh Parviz, Hamid Peyrovi,
Volume 1, Issue 1 (6-2012)
Abstract
Aim Background The purpose of this study was to measure the effect of endotracheal suctioning in-service education on the patients’ blood oxygen saturation and heart rate changes in intensive care unit.One of the basic steps in caring and maintaining the airway is endotracheal suctioning. If this procedure is not performed with proper technique, it will be associated with many complications.Method This study is an outcomes research performed in medical intensive care unit of Hazrate-Rasool Hospital in 2010. All nurses working in intensive care unit and all performed endotracheal suctioning cases in a period of two weeks before and after in-service education were selected as research sample.Findings Conclusion Therefore, it is necessary to provide in-service education programs in relation to nurses' attention to the hemodynamic changes and to minimize these changes, and thereby to protect life and safety in critically ill patients. The results showed mean arterial oxygen saturation decreased significantly (p =0.005) in the first and third minutes post-suctioning before conducting in-service education. Besides, the results showed the mean arterial oxygen saturation increased significantly (p≤0.001) in the first and third minutes post-suctioning after conducting in-service education. Also, mean heart rate increased significantly (p≤0.001) in the first and third minutes post-suctioning before conducting in-service education. The mean heart rate increased significantly (p≤0.001) in the first minute post-suctioning after conducting in-service education, but in third minute post-suctioning this difference was not significant.The research findings show significant changes in blood oxygen saturation and heart rate post-endotracheal suctioning. These changes are an important complication in critically ill patients and can be life-threatening particularly.
Mohsen Ziyaeifard , Ali Sadeghi, Rasool Ferasatkish , Mostafa Fatahi , Majid Basirat, Khadijeh Hashemi,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study was conducted to evaluate effect of bedside teaching on critical care nurses' performance in airway suctioning
Background. One of the most effective measures in patients undergoing mechanical ventilation is suctioning the trachea to prevent the accumulation of potentially infectious pulmonary secretions and to clear the airway which is carried out by critical care nurses. If suctioning cannot be correctly performed, some complications may occur.
Method. This was a quasi-experimental study in which the study sample consisted of 54 critical care nurses working in Rajaie Cardiovascular Medical and Research Center, Tehran, Iran. The nurses were recruited through convenience sampling based on inclusion criteria. Critical care nurses’ performance in airway suctioning were evaluated before and two weeks after intervention using a checklist. The intervention included bedside teaching of suction procedure.
Findings. Two weeks after intervention, the mean score of performance in airway suctioning increased significantly (P≤0.0001). Hand washing or using hand was recorded only for 16 nurses before intervention and for 35 nurses after intervention. Maintaining catheter sterility during suctioning was considered by 28 nurses before intervention, and by 40 nurses after intervention. Correct procedure documentation and recording secretion characteristics before and after intervention were carried out by 13 and 34 nurses, respectively. While activating suction during bringing the catheter out of endotracheal tube was done by 31 nurses before intervention, after intervention 41 nurses did so.
Conclusion. Bedside teaching of correct airway suctioning for critical care nurses enhance their performance in this procedure.
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