Effect of deep and superficial endotracheal suctioning on hemodynamic parameters and pain in neurosurgical intensive care patients

Year 2022, Volume: 35 Issue: 2, 237 - 243, 30.05.2022

Sibel Kosteklı Sevim Celık Emrah Keskın

https://doi.org/10.5472/marumj.1121846

Cited By: 1

Abstract

Objective: This study aimed to determine the effects of deep and superficial endotracheal suctioning on hemodynamic parameters
and pain level in mechanically ventilated neurosurgical patients.

Patients and Methods: This prospective, randomized, controlled experimental study was conducted on 37 patients who underwent
deep endotracheal suctioning and 37 patients who underwent superficial endotracheal suctioning using open endotracheal suctioning
system. The arterial blood pressure, heart rate, body temperature, respiratory rate, oxygen saturation levels and pain status of the
patient were compared before and after endotracheal suctioning at 1 min, 5 min and 30 min.

Results: There was no statistically significant difference between the effects of deep and superficial endotracheal suctioning methods
(p> 0.05). However, there was less change in systolic and diastolic arterial blood pressure and heart rates in patients who underwent
superficial endotracheal suctioning before and 30 min after endotracheal suctioning (p> 0.05).

Conclusion: Superficial endotracheal suctioning caused fewer changes in hemodynamic parameters and pain levels of patients
compared to deep endotracheal suctioning. For this reason, nurses should first prefer the superficial endotracheal suctioning method
during the suctioning practices of neurosurgery patients.

Keywords

Endotracheal suctioning, Neurosurgery, Intensive care, Hemodynamic parameters, Nurse

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