Aspiration
Conditions
Keywords
Closed aspiration, Pain, Hemodynamic parameters
Brief summary
The study was planned to determine the effects of closed aspiration on arterial blood pressure, heart rate, respiratory rate, oxygen saturation level and pain in intensive care patients connected to mechanical ventilators. IThe effects of the closed aspiration system on hemodynamic parameters and pain will be determined and the results will be important in terms of the usability of the closed system in the clinical environment and raising awareness in nursing practices in order to create minimum complications for the patient.
Detailed description
The research iss carried out in a single group pretest posttest quasi-experimental design in order to determine the effects of closed aspiration on arterial blood pressure, heart rate, respiratory rate, oxygen saturation level and pain in intensive care unit patients with mechanical ventilation. The research is carried out in Anesthesiology and Reanimation Intensive Care Unit. The sample of the study is patients who was intubated, not sedated, systolic arterial blood pressure 110-140 mmHg, diastolic arterial blood pressure between 60-90 mmHg, heart rate between 60-100/min, respiratory rate between 12-20/min, oxygen with saturation level (SpO2) \>86%. Data is collected from the hospital's electronic patient record system and observationally before and after the aspiration. Patient Description Form, Hemodynamic Status and Pain Monitoring Form, Behavioral Pain Scale is used to collect research data.
Interventions
PROCEDUREClosed system aspiration
Aspiration catheter; it is part of the ventilator and the ventilator circuit. The catheter is stored in a protective sheath. Therefore, the catheter can be used repeatedly during the day.
Sponsors
Izmir Bakircay University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* over 18 years, * Intubated * Connected to mechanical ventilator, * Not receiving sedation, * Not unconscious, * Monitored, * Systolic arterial blood pressure is between 110-140 mmHg and diastolic arterial blood pressure is between 60-90 mmHg, * Heart rate between 60-100/min, * Respiratory rate between 12-20/min, * Body temperature not higher than 38º C, * Oxygen saturation level (SpO2) \>86%
Exclusion criteria
* Not intubated, * Received a diagnosis related to the respiratory system, * Unconscious or sedated curare
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hemodynamic status form 1 | 1 minute after aspiration. | This form was used to record the arterial blood pressure, respiratory rate, oxygen saturation, heart rate of the patients. |
| Hemodynamic status form 2 | 5 minute after aspiration. | This form was used to record the arterial blood pressure, respiratory rate, oxygen saturation, heart rate of the patients |
| Hemodynamic status form 3 | 30 minutes after aspiration. | This form was used to record the hemodynamic parameters arterial blood pressure, respiratory rate, oxygen saturation, heart rate of the patients. |
| Behavioral pain scale 1 | 1st after aspiration. | It consists of three items: facial expression, upper extremities, and compliance with the ventilator. For each item, there are four variables that include behavioral responses to pain. Each section is given a score between 1-4. The score obtained from the scale is between 3-12. Higher scores indicate increased pain intensity. |
| Behavioral pain scale 2 | 5th minutes after aspiration. | It consists of three items: facial expression, upper extremities, and compliance with the ventilator. For each item, there are four variables that include behavioral responses to pain. Each section is given a score between 1-4. The score obtained from the scale is between 3-12. Higher scores indicate increased pain intensity. |
| Behavioral pain scale 3 | 30th minutes after aspiration. | It consists of three items: facial expression, upper extremities, and compliance with the ventilator. For each item, there are four variables that include behavioral responses to pain. Each section is given a score between 1-4. The score obtained from the scale is between 3-12. Higher scores indicate increased pain intensity. |
Countries
Turkey (Türkiye)
Outcome results
None listed