Comparison Between the Effect of Open and Closed Tracheal Suction Systems on Physiological Parameters of Critically Ill Patients
Mohamed, H., Mahmoud, M., Gouda, T., Kandeel, N. (2023). Comparison Between the Effect of Open and Closed Tracheal Suction Systems on Physiological Parameters of Critically Ill Patients. EKB Journal Management System, 10(1), 271-282. doi: 10.21608/mnj.2023.320391
Hanan Mohamed; Marwa Mahmoud; Tarek Gouda; Nahed Kandeel. "Comparison Between the Effect of Open and Closed Tracheal Suction Systems on Physiological Parameters of Critically Ill Patients". EKB Journal Management System, 10, 1, 2023, 271-282. doi: 10.21608/mnj.2023.320391
Mohamed, H., Mahmoud, M., Gouda, T., Kandeel, N. (2023). 'Comparison Between the Effect of Open and Closed Tracheal Suction Systems on Physiological Parameters of Critically Ill Patients', EKB Journal Management System, 10(1), pp. 271-282. doi: 10.21608/mnj.2023.320391
Mohamed, H., Mahmoud, M., Gouda, T., Kandeel, N. Comparison Between the Effect of Open and Closed Tracheal Suction Systems on Physiological Parameters of Critically Ill Patients. EKB Journal Management System, 2023; 10(1): 271-282. doi: 10.21608/mnj.2023.320391

Comparison Between the Effect of Open and Closed Tracheal Suction Systems on Physiological Parameters of Critically Ill Patients

Mansoura Nursing Journal
Volume 10, Issue 1, January 2023, Page 271-282  XML PDF (553.61 K)
Document Type: Original Article
DOI: 10.21608/mnj.2023.320391
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Authors
Hanan Mohamed email 1; Marwa Mahmoud2; Tarek Gouda3; Nahed Kandeel4
1Demonstrator of Critical Care and Emergency Nursing Department, Faculty of Nursing, Mansoura University, Egypt
2Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt.
3Professors of Internal Medicine and Critical Care, Faculty of Medicine, Mansoura University
4Professors of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University,
Abstract
Background: Endotracheal suctioning is one of the fundamental procedures practiced in intensive care units. There are
two methods used for suctioning: open and closed suction systems. There is a debate in the literature regarding which
suctioning method has a positive impact on the hemodynamic state of critically ill patients (CIPs). Aim: This study
aimed to compare the effect of open and closed tracheal suction systems on physiological parameters of CIPs. Method:
A quasi-experimental design was used to conduct the present study in two intensive care units allocated in the
Specialized Medical Hospital, at Mansoura University. A sample of 94 patients was enrolled in this study and was
randomly assigned to the closed suction group (n = 47) and the open suction group (n = 47). Data were collected using
the patients’ physiological parameters assessment tool. Results: The findings showed no statistically significant
differences between the two suctioning methods except for the diastolic blood pressure (P=0.049). A slight
improvement in patients’ physiological parameters was noticed after closed suctioning. Conclusion and
Recommendations: The open and closed suction systems are considered efficient methods for suctioning the secretion
of CIPs. This study highlights the need for further research with a large sample in different clinical settings to contribute
to the body of knowledge and evidence related to endotracheal suction.
Keywords
Open suction; Closed suction; Physiological parameters; Critically ill patients
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