Comparison between Outcomes of implementing shallow versus deep endotracheal tube suctioning among mechanically ventilated patients | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 27, Issue 3, September 2025, Page 123-138 PDF (262.21 K) | ||||
| Document Type: Research articles | ||||
| DOI: 10.21608/asalexu.2025.450084 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Omnea Mohammed Abo Elyazed* 1; Nadia Taha Ahmed Ahmed2; Ahmed El Menshawy3; Masya Abdallah Elbaiaa4; Haitham Mokhtar Mohamed Abdallah5 | ||||
| 1clinical instractor Critical Care and Emergency Nursing, Faculty of Nursing, Matrouh University | ||||
| 2Professor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||||
| 3, Assistant Professor Critical Care Medicine, Faculty of medicine, Alexandria University | ||||
| 4Assistant Professor Critical Care and Emergency Nursing, Faculty of Nursing, Matrouh University. | ||||
| 5, Lecturer Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||||
| Abstract | ||||
| Background: In Intensive Care Units (ICUs), the primary objective of nursing intervention for patients who are ventilated and intubated is to maintain a clean airway. Alveolar collapse, atelectasis, and infection are possible risks for patients undergoing intubation. Objective: To Compare between Outcomes of implementing shallow vs deep endotracheal tube suctioning among mechanically ventilated patients. Settings: The study was carried out at the Intensive Care Units of the following hospitals: Alexandria Main University Hospital (AMUH) that includes four 4 Critical care units namely: Unit (II) with a bed capacity of 12 beds unit (III) with a bed capacity of 18 beds (IV) with a bed capacity of 8 beds and unit (V) with a bed capacity of 12 beds. Subjects: Eighty 80 critically ill adult patients receiving invasive mechanical ventilation were selected for this analysis. Tools: two tools were used. Tool I: Adult endotracheal suctioning management tool " Tool II: pain assessment ". Results: The study showed that there was highly statistically significant difference found between the two groups regarding their catheter suction size, at (P <0.001). On the other hand, there were highly statistically significant differences found between the mean Glasgow coma scores differences among the studied patients' and the all items of their bio-demographic data, at (P <0.001). Conclusion: The application of the shallow suction system leads to fewer disturbances in the hemodynamic parameters especially, in respiratory rate, oxygen saturation, heart rate, mean arterial blood pressures compared to deep suction system in mechanically ventilated patients. Recommendations: Staff should take more protection procedure when they deal with critically ETT ill patients because this can help in determining how well the task is performed and identifying factors that help or hinder procedure achievement. | ||||
| Keywords | ||||
| Keywords: Endotracheal Tube; Intubated patients; Oxygen Saturation; Shallow and Deep. Suction | ||||
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