Effect of Minimally Invasive Endotracheal Suctioning on Physiological Parameters Among Mechanically Ventilated Preterm. | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 27, Issue 3, September 2025, Pages 97-110 PDF (360.56 K) | ||
| Document Type: Research articles | ||
| DOI: 10.21608/asalexu.2025.450082 | ||
| Authors | ||
| Seham Hamdy Darwish Abdelkader* 1; Yousr Abd- Elsalam Gaafar,2; Marwa Mohamed Farag3; Eman Arafa Badr4 | ||
| 1, Clinical instructor Pediatric Nursing department, Faculty of Nursing, Alexandria University, Egypt. | ||
| 2Professor Emeritus Pediatric Nursing department, Faculty of Nursing, Alexandria University, Egypt. | ||
| 3, Assistant Professor Pediatrics Department, Faculty of Medicine, Alexandria University, Egypt. | ||
| 4Lecturer in Pediatric Nursing Pediatric Nursing department, Faculty of Nursing, Alexandria University, Egypt. | ||
| Abstract | ||
| Background: A mechanical ventilator is a significant life-saving intervention for preterm neonates. Thus, those neonates need recurrent endotracheal suctioning to remove pulmonary secretions. However, it is necessary, as it is a noxious stimulus, and physiological changes can be observed during this procedure. Therefore, critical neonatal nurses have a crucial role during endotracheal suctioning with minimal negative side effects. Aim of the study: to evaluate the impact of minimally invasive endotracheal suctioning on physiological parameters among mechanically ventilated preterm. Design: A quasi-experimental research design was used. Settings: This study was conducted at the Neonatal Intensive Care Unit at Alexandria University Children's Hospital at El-Shatby. Subjects and Method: A convenient sample of 60 mechanically ventilated preterm neonates who were admitted to the previously mentioned settings (25 neonates from were fulfilled the following criteria; mechanically ventilated preterm neonates on invasive endotracheal tube, gestational age less than 37 weeks at birth and not receiving any sedatives. Those neonates were distributed equally into control and study groups (30 neonates in each one). Preterm neonates in the control group experienced routine endotracheal suctioning in the unit (deep suctioning) by the assigned neonatal nurse. In contrast, those in the study group experienced minimally invasive endotracheal suctioning by the researcher. Physiological parameters of neonates were assessed before, during, immediately, after three and ten minutes of the procedure. Results: it was found that more than three-quarters of preterm neonates (76.7%) in the study group had normal heart rate immediately after suctioning, compared to most of the neonates in the control group (96.7%) who still recorded tachycardia (p<0.001). A statistically significant difference between both groups of the study was found immediately after and after three minutes of suctioning concerning respiratory rate (p<0.001), whereas around two-thirds of neonates in the study had normal respiratory rate, but almost all of the neonates in the control group recorded tachypnea (p<0.001). Regarding oxygen saturation during suctioning, the means of oxygen saturation were 88.4±7.0% and 90.0±3.6% in the control and study groups, respectively. A statistically significant difference was found between both groups of study (p=0.001). Conclusion: This study demonstrates that minimally invasive endotracheal suctioning in intubated preterm neonates had less effect on physiological parameter alterations than routine deep endotracheal suctioning. Recommendations: The following recommendations are suggested: The critical neonatal nurse must assess the need of neonates for suctioning and monitor the preterm infant during and after the procedure. Additionally, those nurses need to practice minimal invasive endotracheal suctioning for preterm neonates to aviod potential outcomes. | ||
| Keywords | ||
| Mechanical ventilator; physiological parameters; minimally invasive endotracheal suctioning; preterm neonates | ||
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