Randomized crossover trial of endotracheal tube suctioning systems use in newborns

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dc.contributor.authorCardoso, Jaqueline M. [UNIFESP]
dc.contributor.authorKusahara, Denise M. [UNIFESP]
dc.contributor.authorGuinsburg, Ruth [UNIFESP]
dc.contributor.authorPedreira, Mavilde L. G. [UNIFESP]
dc.date.accessioned2019-08-19T11:49:35Z
dc.date.available2019-08-19T11:49:35Z
dc.date.issued2017
dc.description.abstractBackgroundMaintaining endotracheal tube patency is critical for neonates receiving mechanical ventilation. Endotracheal tube suctioning removes accumulated secretions preventing potential adverse events, however is also potentially hazardous to the patient. ObjectiveTo compare respiratory rate, arterial blood oxygen saturation, heart rate and pain in newborns undergoing endotracheal tube suctioning with closed (CS) and open (OS) systems. MethodsRandomized crossover trial with 13 newborns from two Brazilian hospitals. The respiratory rate, arterial blood oxygen saturation, heart rate and pain (Premature Infant Pain Profile) were analysed: immediately before (T1), during (T2), immediately after (T3), 10 min after (T4) and 30 min (T5) after endotracheal suctioning. ResultsThe majority (11/85<bold></bold>0%) of the newborns were premature and 45% weighed less than 1000 g. No statistically significant difference was identified according to the use of CS or OS to all the parameters investigated. The main results demonstrated that in T2 arterial blood oxygen saturation was higher with CS (CS 93<bold></bold>0%en
dc.description.abstractOS 89<bold></bold>0%en
dc.description.abstractp=0<bold></bold>561). In T3 there was an increase in respiratory rate average only with the use of OS (T1 50<bold></bold>0en
dc.description.abstractT3 56<bold></bold>0). The pain score in T2 and heart rate in T3 were higher with OS without significant differences (p=0<bold></bold>114en
dc.description.abstractp=0<bold></bold>479, respectively). ConclusionThere was no significant difference in the studied clinical parameters or presence and intensity of pain according to the two investigated techniques of endotracheal tube suctioning. Relevance to clinical practiceThis research can provide support for clinical practice regarding endotracheal tube suctioning of newborns describing that the use of closed systems was similar to the open system regarding pain presence and intensity, as well as, in the clinical effects analysed, in accordance with other studies produced in this field.en
dc.description.affiliationUniv Fed São Paulo, Dept Pediat Nursing, Escola Paulista Enfermagem, São Paulo, Brazil
dc.description.affiliationUniv Fed São Paulo, Dept Pediat, Escola Paulista Med, São Paulo, Brazil
dc.description.affiliationUnifespUniv Fed São Paulo, Dept Pediat Nursing, Escola Paulista Enfermagem, São Paulo, Brazil
dc.description.affiliationUnifespUniv Fed São Paulo, Dept Pediat, Escola Paulista Med, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent276-283
dc.identifierhttp://dx.doi.org/10.1111/nicc.12170
dc.identifier.citationNursing In Critical Care. Hoboken, v. 22, n. 5, p. 276-283, 2017.
dc.identifier.doi10.1111/nicc.12170
dc.identifier.issn1362-1017
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/51351
dc.identifier.wosWOS:000407925900005
dc.language.isoeng
dc.publisherWiley
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectArtificialen
dc.subjectClosed system suctioningen
dc.subjectCritical care nursingen
dc.subjectInfanten
dc.subjectNeonatal intensive careen
dc.subjectNewbornen
dc.subjectPainen
dc.subjectPain assessmenten
dc.subjectRespirationen
dc.subjectRespiratory careen
dc.subjectSuctionen
dc.titleRandomized crossover trial of endotracheal tube suctioning systems use in newbornsen
dc.typeinfo:eu-repo/semantics/article
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