The practice of intensive care nurses using the closed suctioning system: An observational study

Haghighat, Somayeh; Yazdannik, Ahmadreza

doi:10.4103/1735-9066.164509

Cited by 23 publications

(28 citation statements)

References 25 publications

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“…Studies about knowledge and practice of ETS among nurses have been conducted in many countries as they predict the safety of patients in critical conditions [ 6 , 10 , 23 ]. However, little is known from the Tanzanian settings.…”

Section: Discussionmentioning

confidence: 99%

“…Intubated patients often have an increased production of mucous and weakened ability to clear airway secretion which may pose some risks to the patient including infection (pneumonia) and atelectasis[ 4 , 5 ]. Therefore, ETS is a life-saving procedure to enhance clearance of respiratory tract secretion, improve oxygenation and prevent atelectasis [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Intensive care nurses’ knowledge and practice on endotracheal suctioning of the intubated patient: A quantitative cross-sectional observational study

2018

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IntroductionEndotracheal suction (ETS) is a common invasive procedure which is done to keep the airways patent by mechanically removing accumulated pulmonary secretions to all in patients with artificial airways. Many life-threatening complications can occur when the procedure is not performed correctly. Although the evidence-based recommendations regarding ETS are available, many of these have not been observed in nurse’s clinical practice. We assessed the intensive care nurses’ knowledge and practice of ETS to intubated patients in selected hospitals in Dar es Salaam, Tanzania.MethodologyA descriptive cross-sectional study design involving 103 Intensive Care Unit (ICU) nurses in Dar es Salaam city was conducted in 2014. Data were analyzed using SPSS version 20 where descriptive statistics were employed to interpret data.ResultsMajority of ICU nurses (69.9%) knew the indication for the procedure, (77.7%) knew the action to be taken in case of abrupt change in the ECG monitor; however, 80.6% demonstrated undesirable overall knowledge on ETS evidence-based recommendations. Nurses with ICU training (57.3%) significantly demonstrated higher knowledge of ETS than non-trained nurses (P<0.005), while all other factors had no influence.Conclusions and recommendationsMajority of ICU nurses do not have desirable knowledge and skills of ETS, and are currently not following current ETS recommendations. This study has shown that training on ICU skills have positive influence to recommended ETS knowledge. We recommend ICU training, provision of clinical guidelines and adequate support to nurses employed in ICUs. Also, further studies using analytical approach to identify other factors beyond the scope of this study and testing the best approach in fostering adherence to ETS evidence-based recommendations are crucial.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intensive care nurses’ knowledge and practice on endotracheal suctioning of the intubated patient: A quantitative cross-sectional observational study

2018

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“…The OSS works by disconnecting the ventilator circuit and inserting a catheter. In CSS, suction is done using a catheter in an enclosed sheath attached to the inside of the trachea without disconnecting the ventilator circuit (7-9). …”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effect of Open and Closed Endotracheal Suctioning Methods on Pain and Agitation in Medical ICU Patients: A Clinical Trial

2016

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BackgroundEndotracheal suctioning is a necessary procedure practiced by nurses in intensive care units to remove lung secretions. This procedure leads to higher oxygenation levels and reduced breathing difficulties. It also prevents atelectasis, pulmonary infections, and the accumulation of secretions.ObjectivesThe present study aims to compare the effectiveness of open and closed endotracheal suction tube systems on pain and agitation in patients under mechanical ventilation.MethodsA randomized controlled clinical trial was conducted in the general intensive care units of Khatam-ol-Anbia hospital and Sina hospital, Tehran, Iran, in 2015. In total, 60 patients who were qualified to be included in the study were randomly assigned to either the intervention group or the control group. When necessary, suction was carried out for each patient using the standard technique. The patients’ level of pain and agitation was measured in both groups at five stages (before, during, immediately after, 5 minutes after, and 15 minutes after the intervention) using the behavioral pain scale and the Richmond agitation sedation scale.ResultsSignificant statistical differences in the pain and agitation at different times within each of the two groups were observed for both open and closed suction (P > 0.001). However, these changes at different times between the two groups was not significant (P < 0.05).ConclusionsAlthough statistical differences were observed in the levels of pain and agitation in the two groups, the type of suction system did not have any effect on the level of pain and agitation of patients under mechanical ventilation. The researchers recommend that other studies with larger sample sizes should be carried out.

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“…A study showed that critical care nurses do not fully adhere to the best practice recommendations in CSS. [ 11 ] There is therefore, a dire need for training and continuing education for COVID ICU staff in the use of closed suction.…”

Section: Challenges In Training and Education Of Health Care Workersmentioning

confidence: 99%

Difficult airway management in COVID times

Bajwa¹,

Kurdi²,

Stroumpoulis³

2020

Indian J Anaesth

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The practice of intensive care nurses using the closed suctioning system: An observational study

Cited by 23 publications

References 25 publications

Intensive care nurses’ knowledge and practice on endotracheal suctioning of the intubated patient: A quantitative cross-sectional observational study

Intensive care nurses’ knowledge and practice on endotracheal suctioning of the intubated patient: A quantitative cross-sectional observational study

Comparison of the Effect of Open and Closed Endotracheal Suctioning Methods on Pain and Agitation in Medical ICU Patients: A Clinical Trial

Difficult airway management in COVID times

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