Newborn
Conditions
Keywords
Closed system suctioning, Open system suctioning, Pain, Neonatal intensive care, Newborn, Suction
Brief summary
Endotracheal aspiration is a necessary procedure performed by nurses in neonatal intensive care units to increase oxygenation and remove secretions from the airways. It is one of the painful procedures that most frequently causes stress in intubated newborns.
Detailed description
The aim of this study is to examine the effect of open and closed system suction, which is one of the invasive procedures frequently applied in neonatal intensive care, on the baby's pain and vital signs. There is a need for innovative, evidence-based practices to be implemented by nurses in clinics to minimize complications related to endotracheal suction.
Interventions
OTHERSuction
Each patient will be evaluated as both the experimental and control group. In the study, open suction applied to the patient will be evaluated as control, and closed suction will be considered as the experimental group. The first suction of the same patient during the day will be done as open suction, and the second suction will be done as closed suction.
Sponsors
Izmir Katip Celebi University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Each patient will be considered as both an experimental and a control group.Two different aspiration methods will be applied in line with the patient's aspiration needs, and the effect of the methods will be evaluated on the same patient. In the study, open aspiration applied to the patient will be evaluated as control, and closed aspiration will be considered as the experimental group.
Eligibility
Sex/Gender
ALL
Age
1 Days to No maximum
Healthy volunteers
No
Inclusion criteria
* Newborns monitored with mechanical ventilation * Newborn who need suctioning, * Newborn who did not undergo painful procedures one hour before aspiration. * Hemodynamically stable newborn;
Exclusion criteria
* Newborn with any facial/skull deformities * Newborn with chromosomal/genetic abnormalities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain score | Pain will be evaluated before, during and 30 minutes after each suction procedure. | differences in pain between open and closed suctioning systems |
| Oxygen saturation | Oxygen saturation will be evaluated before, during and 30 minutes after each suction procedure | differences in oxygen saturation between open and closed suctioning systems |
| Heart rate | Heart rate will be evaluated before, during and 30 minutes after each aspiration procedure | differences in heart rate between open and closed suctioning systems |
Countries
Turkey (Türkiye)
Contacts
Primary ContactASLI ALACA, MSc
Outcome results
None listed