Determining the Effects of Nasopharyngeal Suction with Negative and Positive Pressure: Randomised Controlled Trial
Year 2024,
Volume: 14 Issue: 3, 683 - 690, 30.09.2024
Rukiye Kökkız
,
Gülten Karahan Okuroğlu
,
Nuran Üstün
Abstract
Objective: The study aims to determine the effects of nasopharyngeal suction with negative and positive pressure on pain level, respiratory parameters, and mucosal irritation in infants.
Methods: This study was conducted as a posttest randomized controlled experimental research. The data was collected at Göztepe Training and Research Hospital between January and November 2020. While the positive pressure suction method was applied to the experimental group, the negative pressure suction method was applied to the control group.
Results: It is determined that the pain level mean scores at the 1st and 5th minutes after the suction procedure are lower in the experimental group than in the control group (p<.05). SpO2 values at the 1st, 5th, and 15th minutes after the procedure are significantly higher in the experimental group than in the control group (p<.05). There is no statistically significant difference in the respiratory rate values between
experimental and control groups (p>.05).
Conclusion: It is determined that the post-procedure pain level is lower and the SpO2 value is higher in the experimental group (positive pressure suction) compared to the control group (negative pressure suction). Both methods do not cause mucosal irritation, as well.
References
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Year 2024,
Volume: 14 Issue: 3, 683 - 690, 30.09.2024
Rukiye Kökkız
,
Gülten Karahan Okuroğlu
,
Nuran Üstün
References
- Miller E, Mori B, Nonoyama M, Vaza P, Brooks D. Assessing the content validity of the Physical Therapy Competence Assessment for Airway Suctioning (PT-CAAS) in chronic and community care settings. Can J Respir Crit Care Sleep Med. 2022; 6(2): 102-109. DOI: 10.1080/24745332.2021.1872048
- Rad LL, Carter B, Curley MA, Copnell B, Tume LN. Adherence of critical care nurses to endotracheal suctioning guidelines: A cross-sectional study. BMC Nursing 2021; 26 (5): 372-379. DOI: 10.1186/s12912-022-01092-w
- Chang WP, Chen HM, Wu JR, Tsai HT, Ho CF, Lin YH. Adverse effects of non‐intubated airway suctioning: A clinical data‐based study. JCN 2023; 32(5):726-735. DOI: 10.1111/jocn.16307
- Batman D. Current approaches to the principles of aspiration in the delivery room of the newborn; roles and responsibilities of midwives. Adnan Menderes University Faculty of Health Sciences Journal 2020; 4(3):258-267. DOI: 10.46237/amusbfd.574638
- Blakeman TC, Scott JB, Yoder MA, Capellari, E, Strickland SL. AARC clinical practice guidelines: Artificial airway suctioning. Respir Car. 2022; 67(2):258-271. DOI:10.4187/respcare.09548
- Faye PM, De Jonckheere J, Logier R, Kuissi E, Jeanne M, Rakza T, Storme L. Newborn infant pain assessment using heart rate variability analysis. Clin J Pain 2010; 26(9): 777-782. DOI: 10.1097/ajp.0b013e3181ed1058
- Foster JP, Dawson JA, Davis PG, Dahlen HG. Routine oro/nasopharyngeal suction versus no suction at birth. Cochrane Database Syst Rev. 2017; 4(4): CD010332 DOI:10.1002/14651858.CD010332.pub2.
- Chang AB, Berkowitz RG. Cough in the pediatric population. Otolaryngol Clin North Am. 2010; 43(1):181-198. DOI: 10.1016/j.otc.2009.11.010
- Jahromi FF, Poornoroz N, Najafipoor S, Rahimi M, Najafi M. Best-practice interventions: how can you prevent endotracheal suctioning associated complications? Arch Pharm Pract. 2022; 13(2): 127-131. DOI: 10.51847/meYopwqajz
- Rashwan ZI, Eweida RS, Hamad NI. Effect of minimally invasive premeasured suctioning on airway mucosal injury and suction-induced stress among mechanically ventilated neonates: A clinical challenge for nurses. JN. 2022; 28(4): 279-285. DOI: 10.1016/j.jnn.2022.02.003
- Cai Q, Luo W, Zhou Y, Yin Y, Zhu K, Shi H, Liao Y. Efficacy and safety of non‐pharmacological interventions for endotracheal suctioning pain in preterm infants: A systematic review. Nurs Open 2023; 10(2):424-434. DOI: 10.1002/nop2.1364
- Schults JA, Cooke M, Long D, Schible A, Ware RS, Charles K, Mitchell ML. Normal saline and lung recruitment with pediatric endotracheal suction (NARES): A pilot, factorial, randomised controlled trial. Aust Crit Care 2021; 34(6): 530-538. DOI:10.1097/DCC.0000000000000442.
- Fawke J, Wyllie J, Udaeta E, Rüdiger M, Ersdal H, Wright MD, Force LST. Suctioning of clear amniotic fluid at birth: A systematic review. Resusc Plus. 2022; 12(100298):1-15. DOI:10.1016/j.resplu.2022.100298
- Sweet LR, Keech C, Klein NP, Marshall HS, Tagbo BN, Quine D, Kanur P, Tikhonov I, Nisar MI, Kochhar S, Muñoz, FM. Respiratory distress in the neonate: Case definition & guidelines for data collection, analysis, and presentation of maternal immunization safety data. Vaccine. 2017; 35 (48): 6506–6517. Doi: 10.1016/j.vaccine.2017.01.046
- Marshall S, Lang AM, Perez M, Saugstad OD. Delivery room handling of the newborn. JPM. 2019; 48(1); 1-10. DOI: 10.1515/jpm-2019-0304
- Turan S, Ayık İ, Yamak B, Yavuz S, Bektaş Ş, Yağar S, Erdeml, Ö. Tracheal injury due to endotracheal aspiration. Turk J Anaesthesiol Reanim. 2012; 40(1): 40-46. DOI:10.5222/JTAICS.2012.040
- Taplak AŞ, Bayat, M. Comparison the effect of breast milk smell, white noise and facilitated tucking applied to Turkish preterm infants during endotracheal suctioning on pain and physiological parameters. J Pediatr Nurs. 2021; 56: 19-26. DOI:10.1016/j.pedn.2020.07.001
- Doaa A. Crossover study: effect of facilitated tucking position on preterm infants pain and suction duration during endotracheal suctioning. EJHC 2022; 13(4): 238-250. DOI: 10.21608/EJHC.2022.260884
- Özkeçeci CF, Karagöl BS. Care of newborn baby on mechanical ventilator. Kocatepe Medical Journal (KTD). 2021; 22(1): 73-79. DOI: 10.18229/kocatepetip.513616
- Çelik S, Elbas NÖ. The standard of suction for patients undergoing endotracheal intubation. Intensive Crit Care Nurs. 2000; 16(3):191-198. DOI: 10.1054/iccn.2000.1487
- Khayer F, Ghafari S, Saghaei M, Yazdannik A, Atash, V. Effects of open and closed tracheal suctioning on pain in mechanically ventilated patients. Iran J Nurs Midwifery Res. 2020; 25 (5): 426. DOI: 10.4103/ijnmr.IJNMR_135_18
- İlkin Y, Özden D. Açık ve kapalı sistem endotrakeal aspirasyon yöntemlerinin aspirasyon sıklığı ve sekresyon miktarına etkisi. 2021. Dokuz Eylül Üniversitesi, Sağlık Bilimleri Enstitüsü. Doktora Tezi. İzmir (Turkish)
- Oliveira NRGD, Formiga CKMR, Ramos BA, Santos RND, Moreira NNDS, Marçal PGE, Amaral WND. gentle touch and sucrose for pain relief during suctioning in preterm newborns—A randomized clinical trial. Children. 2023; 10(1): 158. DOI:10.3390/children10010158