Effects of expiratory ribcage compression before endotracheal suctioning on arterial blood gases in patients receiving mechanical ventilation

被引:4
|
作者
Kohan, Mahmoud [1 ]
Rezaei-Adaryani, Morteza [2 ]
Najaf-Yarandi, Akram [3 ]
Hoseini, Fatemeh [4 ]
Mohammad-Taheri, Nahid [5 ]
机构
[1] Alborz Univ Med Sci, Dept Operating Room, Karaj, Iran
[2] Self Employed Persian English Nurse Translator, Tehran, Iran
[3] Iran Univ Med Sci, Dept Med & Surg Nursing, Tehran, Iran
[4] Iran Univ Med Sci, Dept Biostat & Math, Tehran, Iran
[5] Iran Univ Med Sci, Shahid Akbar Abadi Teaching Hosp, Tehran, Iran
关键词
Arterial blood gases; Critical care nursing; Endotracheal suctioning; Expiratory ribcage compression; LOBAR ATELECTASIS;
D O I
10.1111/nicc.12090
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aim and objectives: To investigate the effects of expiratory ribcage compression (ERCC) before endotracheal suctioning on the arterial blood gases (ABG) in patients receiving mechanical ventilation. Background: Endotracheal suctioning is one of the most frequently used methods for airway clearance in patients receiving mechanical ventilation. Chest physiotherapy techniques such as ERCC before endotracheal suctioning can be used as a means to facilitate mobilizing and removing airway secretions and improving alveolar ventilation. Design: A prospective, randomized, controlled cross-over design. Methods: A randomized controlled cross-over trial with a convenience sample of 70 mechanically ventilated patients was conducted from 2006 to 2007. The patients received endotracheal suctioning with (experiment-period) or without (control-period) an antecedent 5-min expiratory ribcage. All the patients experienced both periods with at least a 3-h washed-out interval between the two periods. ABG were measured 5 min before and 25 min after endotracheal suctioning. Results: The statistical tests showed that the levels of partial pressure of oxygen (PaO2)/fraction of inspired oxygen (FiO(2)), partial pressure of carbon dioxide (PaCO2) and arterial oxygen saturation (SaO(2)) in the experimental period at 25 min after the intervention were significantly different from the control period. The tests also revealed that the levels of these variables at 25 min after suctioning were also significantly different from baseline values. However, these differences were clinically significant only for PaO2/FiO(2). Conclusion: By improving the levels of PaO2/FiO(2), ERCC can reduce the patients' need for oxygen and hence it can at least reduce the side effects of oxygen therapy. Relevance to clinical practice: Improving PaO2/FiO(2) levels means less need for oxygen therapy. Hence, by applying ERCC we can at least minimize the side effects of oxygen therapy.
引用
收藏
页码:255 / 261
页数:7
相关论文
共 50 条
  • [1] ENDOTRACHEAL SUCTIONING IN PATIENTS ON MECHANICAL VENTILATION
    GONZALEZ, HF
    ERCHOWSKY, P
    AHMED, T
    [J]. AMERICAN REVIEW OF RESPIRATORY DISEASE, 1983, 127 (04): : 151 - 151
  • [2] CLINICAL INDICATORS FOR ENDOTRACHEAL SUCTIONING IN ADULT PATIENTS RECEIVING MECHANICAL VENTILATION
    Sole, Mary Lou
    Bennett, Melody
    Ashworth, Suzanne
    [J]. AMERICAN JOURNAL OF CRITICAL CARE, 2015, 24 (04) : 318 - 324
  • [3] CLINICAL INDICATORS FOR ENDOTRACHEAL SUCTIONING IN ADULT PATIENTS RECEIVING MECHANICAL VENTILATION
    Sole, Mary
    Bennett, Melody
    Ashworth, Suzanne
    Marano, Alexis
    Mehta, Devendra
    [J]. CRITICAL CARE MEDICINE, 2012, 40 (12) : U127 - U127
  • [4] EFFECT OF ENDOTRACHEAL SUCTIONING ON ARTERIAL BLOOD-GASES IN CHILDREN
    KEREM, E
    YATSIV, I
    GOITEIN, KJ
    [J]. INTENSIVE CARE MEDICINE, 1990, 16 (02) : 95 - 99
  • [5] EFFECT OF ENDOTRACHEAL SUCTIONING ON ARTERIAL BLOOD-GASES IN CHILDREN
    GOITEIN, K
    KAREM, E
    YATZIV, I
    ROTTEM, M
    [J]. INTENSIVE CARE MEDICINE, 1987, 13 (06) : 446 - 446
  • [6] Policies for endotracheal suctioning of patients receiving mechanical ventilation:: A systematic review of randomized controlled trials
    Niel-Weise, B. S.
    Snoeren, R. L. M. M.
    van den Broek, P. J.
    [J]. INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2007, 28 (05): : 531 - 536
  • [7] EFFECT OF ENDOTRACHEAL SUCTIONING ON ARTERIAL BLOOD-GASES IN PATIENTS AFTER CARDIAC-SURGERY
    ADLKOFER, RM
    POWASER, MM
    [J]. HEART & LUNG, 1978, 7 (06): : 1011 - 1014
  • [8] Physiologic Impact of Closed-System Endotracheal Suctioning in Spontaneously Breathing Patients Receiving Mechanical Ventilation
    Seymour, Christopher W.
    Cross, Brian J.
    Cooke, Colin R.
    Gallop, Robert L.
    Fuchs, Barry D.
    [J]. RESPIRATORY CARE, 2009, 54 (03) : 367 - 374
  • [9] EFFECTS OF ENDOTRACHEAL SUCTIONING MANAGEMENT ON ARTERIAL BLOOD-GAS PARAMETERS
    WOODBURNE, CR
    POWASER, MM
    [J]. AMERICAN REVIEW OF RESPIRATORY DISEASE, 1978, 117 (04): : 215 - 215
  • [10] Decreasing the Adverse Effects of Endotracheal Suctioning During Mechanical Ventilation by Changing Practice
    Maggiore, Salvatore Maurizio
    Lellouche, Francois
    Pignataro, Claudia
    Girou, Emmanuelle
    Maitre, Bernard
    Richard, Jean-Christophe M.
    Lemaire, Francois
    Brun-Buisson, Christian
    Brochard, Laurent
    [J]. RESPIRATORY CARE, 2013, 58 (10) : 1588 - 1597