The effect of endotracheal suctioning using or not using normal saline on respiratory physiologic parameters in open heart surgery patients

Ali akbar Vaisi-Raygani, Zohreh Jafari, Mansour Rezaei, Abdol hamid Zokaei, Hossein Ashtarian

Abstract


Background: Tick and tenacious secretions is one of the problems in suctioning and the instillation of normal saline in airways is one of the ways for removing pulmonary secretions. The aim of this study was to determine the effect of endotracheal suctioning using or not using normal saline on respiratory physiologic parameters in open heart surgery patients.

Methods: This study was a one-group clinical approach. The study group consisted of 40 patients receiving mechanical ventilation in the heart ICU after coronary artery bypass graft. Endotracheal suctioning with and without normal saline were carried out on each patient. Respiratory physiologic parameters were measured 1 minute before and 1, 5 and 15 minutes after each suctioning procedure and were recorded in a data collection form. Data was analysed utilizing T test and ANOVA.

Results: Respiratory physiologic parameters changed after suctioning in both methods of endotracheal suctioning but no significant difference was found between both methods of suctioning.

Conclusion: Suctioning by using normal saline instillation can lead to lower changes in respiratory physiologic parameters compared not using normal saline. Therefore, suctioning with normal saline instillation can increase the procedures efficacy and reduce the possible complication.

 


References


Zolfaghari M, Nikbakhtnasrabadi A, KarimiRozveh A, Haghani H. [Effect of Open and Closed System endotracheal suctioning on vital Signs of ICU Patients (Persian)]. The Journal of Faculty of Nursing & Midwifery. 2008; 14(1): 13-20.

Paratz JD, Stockton KA. Efficacy and safety of normal saline instillation: a systematic review. Physiotherapy. 2009; 95(4):241-50.

Day T, Farnell S, Wilson-Barnett J. Suctioning: A review of current research recommendation. Intensive Crit Care Nurs. 2002;18:79-89.

Trevisanuto D, Doglioni N, Zanardo V. The management of endotracheal tubes and nasal cannulae: the role of nurses. Early Hum Dev. 2009;85(10 Suppl):S85-7.

Pedersen C, Rosendahl-Nielsen M, Hjermind J, Egerod I. Endotracheal suctioning of the adult intubated patients-What is the evidence? Intensive Crit l Care Nurs. 2009; 25(1): 21-30.

Brenda M, Merle F, Andrew A. Effect ofendotracheal suction on lung dynamic in mechanically-ventilated pediatric patients. Aust J Physiother. 2006;52(2):121-6.

Jelic S, Cunningham J. Clinical review: Airway hygiene in the intensive care unit. Crit Care. 2008;2(12):209-15

Niël-Weise BS, Snoeren RL, van den Broek PJ. Policies for endotracheal suctioning of patients receiving mechanical ventilation: a systematic review of randomized controlled trials. Infect Control Hosp Epidemiol. 2007;28(5):531-6.

Rauen C, Chulay M, Bridge E, Vollman K, Arbour R. Seven evidence–based practice habits: Putting some sacred cows out to pasture. Crit Care Nurs. 2008;28:98-123.

Najaf-Yarandi A, Tanourifard M, Nikpoor S, Haghani H. [ Effect of suctioning with normal saline instillation into endotracheal tube on arterial gases exchange (Persian)]. Iran Journal of Nursing. 2001;14(28):39-46.

Chaun J, Thompson DR, Chan D, Chung L, Au WL, Tam S. An evaluation of the implementation of a best practice guidline on tracheal suctioning in intensive care units. Int J Evid Based Healthc. 2007;5:354-9.

Akgul S, Kanan N. Isotonic Sodium Chloride solution on endotracheal suctioning. Dimens. Crit Care Nurs. 2006;25(1):11-4.

Argent CA. Endotracheal suctioning is basic intensive care or is it? Pediat Research. 2009; 66(4): 213-7.

Kostaki Z, Giakoumidakis K, Baltopoulos GI, Anthopoulos G, Brokalaki-Pananoudaki H. Comparison of the effectiveness and safety of two methods of endotracheal suctioning. Nosileftiki. 2009;48(3):332-41.

Gray J, Maclntyre N, Kronenberger W. The effect of bolus normal –saline instillation in conjunction with endotracheal suctioning. Respir Care. 1990;8:14-7.

Beeram MR, Dhanireddy R. Effects of saline instillation during tracheal suction on lung mechanics in newborn infants. J Perinatol. 1992;12:120-3.

Ackerman M, Mick D. Instillation of normal saline before suctioning in patients with pulmonary infections:A prospective randomized controlled trial. Am J Crit Care. 1998;7:261-6.

Ridling D, Martin L, Bratton S. Endotracheal suctioning with or without instillation of isotonic sodium chloride solution in critically ill children. Am J Crit Care. 2003;12(3):212-9.




DOI: http://dx.doi.org/10.22110/jkums.v17i4.1269

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