The Effects of Rib Cage Compression before endotracheal suctioning
Abstract Introduction: Accumulation of secretions in airways is a serious complication in intubated and mechanically ventilated patients. Tracheal suctioning which is done with the aim of secretion removal can be used in conjunction with physiotherapy for effective airway clearance and improving gas...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Guilan University of Medical Sciences
2015-09-01
|
| Series: | Journal of Holistic Nursing and Midwifery |
| Subjects: | |
| Online Access: | http://hnmj.gums.ac.ir/browse.php?a_code=A-10-503-10&slc_lang=en&sid=1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850106079450497024 |
|---|---|
| author | Farkhondeh Yosefnia Darzi Farideh Hasavari Tahereh Khaleghdost Mohammadi Ehsan Kazemnejad leily Ali Ashraf Javad Hoseini |
| author_facet | Farkhondeh Yosefnia Darzi Farideh Hasavari Tahereh Khaleghdost Mohammadi Ehsan Kazemnejad leily Ali Ashraf Javad Hoseini |
| author_sort | Farkhondeh Yosefnia Darzi |
| collection | DOAJ |
| description | Abstract Introduction: Accumulation of secretions in airways is a serious complication in intubated and mechanically ventilated patients. Tracheal suctioning which is done with the aim of secretion removal can be used in conjunction with physiotherapy for effective airway clearance and improving gas exchange. Objective: The aim of study was to determine the effects of rib cage compression before suctioning on respiratory parameters in mechanically ventilated patients. Methods: In this crossover clinical trial study fifty mechanically ventilated patients were randomly divided to two groups. Each patient received two interventions of endotracheal suctioning with and without rib-cage compression in expiration time with a minimum of 3-hour interval between the two interventions and ten times with three respiratory cycle intervals. Oxygen saturation and dynamic compliance were measured before, 5 and 25 minutes after and data were analyzed using paired t-tests and Greenhouse Geisser and Sphericity. Results: Average cumulative dynamic compliance a minute before, 5 and 25 minutes after intervention with compression was 30.06, 32.14 and 30.93 and 30.42, respectively and without compression, 32.26 and 32.81. Arterial oxygen saturation a minute before, 5 and 25 minutes after the intervention was 97.67, 98.09 and 97.94 respectively in suction with compression and 98.12, 98.27 and 98.17 without compression which were almost similar in the 3 step evaluation and there was no statistically significant difference. Conclusion: In attention to lack of significant differences in oxygen saturation and dynamic compliance in two methods of suction with and without chest compressions, further research is needed in this area. |
| format | Article |
| id | doaj-art-3d5bf101efb141fd94b0a237a5afe4f2 |
| institution | OA Journals |
| issn | 2588-3712 2588-3720 |
| language | English |
| publishDate | 2015-09-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Journal of Holistic Nursing and Midwifery |
| spelling | doaj-art-3d5bf101efb141fd94b0a237a5afe4f22025-08-20T02:38:55ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122588-37202015-09-012537485The Effects of Rib Cage Compression before endotracheal suctioningFarkhondeh Yosefnia Darzi0Farideh Hasavari1Tahereh Khaleghdost Mohammadi2Ehsan Kazemnejad leily3Ali Ashraf4Javad Hoseini5 Abstract Introduction: Accumulation of secretions in airways is a serious complication in intubated and mechanically ventilated patients. Tracheal suctioning which is done with the aim of secretion removal can be used in conjunction with physiotherapy for effective airway clearance and improving gas exchange. Objective: The aim of study was to determine the effects of rib cage compression before suctioning on respiratory parameters in mechanically ventilated patients. Methods: In this crossover clinical trial study fifty mechanically ventilated patients were randomly divided to two groups. Each patient received two interventions of endotracheal suctioning with and without rib-cage compression in expiration time with a minimum of 3-hour interval between the two interventions and ten times with three respiratory cycle intervals. Oxygen saturation and dynamic compliance were measured before, 5 and 25 minutes after and data were analyzed using paired t-tests and Greenhouse Geisser and Sphericity. Results: Average cumulative dynamic compliance a minute before, 5 and 25 minutes after intervention with compression was 30.06, 32.14 and 30.93 and 30.42, respectively and without compression, 32.26 and 32.81. Arterial oxygen saturation a minute before, 5 and 25 minutes after the intervention was 97.67, 98.09 and 97.94 respectively in suction with compression and 98.12, 98.27 and 98.17 without compression which were almost similar in the 3 step evaluation and there was no statistically significant difference. Conclusion: In attention to lack of significant differences in oxygen saturation and dynamic compliance in two methods of suction with and without chest compressions, further research is needed in this area.http://hnmj.gums.ac.ir/browse.php?a_code=A-10-503-10&slc_lang=en&sid=1Ventilators Mechanical. Suction. Inpatients |
| spellingShingle | Farkhondeh Yosefnia Darzi Farideh Hasavari Tahereh Khaleghdost Mohammadi Ehsan Kazemnejad leily Ali Ashraf Javad Hoseini The Effects of Rib Cage Compression before endotracheal suctioning Journal of Holistic Nursing and Midwifery Ventilators Mechanical. Suction. Inpatients |
| title | The Effects of Rib Cage Compression before endotracheal suctioning |
| title_full | The Effects of Rib Cage Compression before endotracheal suctioning |
| title_fullStr | The Effects of Rib Cage Compression before endotracheal suctioning |
| title_full_unstemmed | The Effects of Rib Cage Compression before endotracheal suctioning |
| title_short | The Effects of Rib Cage Compression before endotracheal suctioning |
| title_sort | effects of rib cage compression before endotracheal suctioning |
| topic | Ventilators Mechanical. Suction. Inpatients |
| url | http://hnmj.gums.ac.ir/browse.php?a_code=A-10-503-10&slc_lang=en&sid=1 |
| work_keys_str_mv | AT farkhondehyosefniadarzi theeffectsofribcagecompressionbeforeendotrachealsuctioning AT faridehhasavari theeffectsofribcagecompressionbeforeendotrachealsuctioning AT taherehkhaleghdostmohammadi theeffectsofribcagecompressionbeforeendotrachealsuctioning AT ehsankazemnejadleily theeffectsofribcagecompressionbeforeendotrachealsuctioning AT aliashraf theeffectsofribcagecompressionbeforeendotrachealsuctioning AT javadhoseini theeffectsofribcagecompressionbeforeendotrachealsuctioning AT farkhondehyosefniadarzi effectsofribcagecompressionbeforeendotrachealsuctioning AT faridehhasavari effectsofribcagecompressionbeforeendotrachealsuctioning AT taherehkhaleghdostmohammadi effectsofribcagecompressionbeforeendotrachealsuctioning AT ehsankazemnejadleily effectsofribcagecompressionbeforeendotrachealsuctioning AT aliashraf effectsofribcagecompressionbeforeendotrachealsuctioning AT javadhoseini effectsofribcagecompressionbeforeendotrachealsuctioning |