Effect of Shallow versus Deep Suctioning Techniques on Endotracheal Tube Cuff Pressure Measurements and Physiological Indices among Patients Undergoing Mechanical Ventilation | ||||
| Tanta Scientific Nursing Journal | ||||
| Volume 32, Issue 1, February 2024, Page 218-241 PDF (739.72 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/tsnj.2024.349143 | ||||
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| Authors | ||||
| Rehab A. Al-mayetiazidy1; , Gehan A. Younis2; Sameh A. Ahmed3; , Zainab A. Allam4 | ||||
| 11Master student of Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt. 2Clinical Instructor at Health Technical Institute in Tanta, Egypt. | ||||
| 2Professor of Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt. | ||||
| 3Assistant Prof of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Tanta University, Egypt | ||||
| 4Assistant Prof of Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt | ||||
| Abstract | ||||
| Background: Endotracheal suctioning has a significant impact on the physiological indices, and it is one of the most common interventions in mechanically ventilated patients that can impact the endotracheal tube cuff pressure. Aim: The current study aimed to investigate the effect of shallow versus deep suctioning techniques on endotracheal cuff pressure measurements and physiological indices among patients undergoing mechanical ventilation. Design: Quasi-experimental study design. Setting: This study was conducted at both Anesthesia Intensive Care Unit and Traumatology and Emergency Medicine Intensive Care Unit in Tanta Emergency Hospital affiliated to Tanta University Hospitals. Subjects: A purposive sampling of 100 adult patients from previously mentioned setting. Tools: Three tools were used to obtain necessary data for this study: Tool I: Mechanically ventilated patient assessment tool, tool II: Endotracheal cuff pressure measurements schedule. Tool III: Physiological indices assessment. Results: there was a decrease in ETT cuff pressure after suctioning compared to pre suctioning in both groups. Also, SBP increased immediately after suctioning among both groups, then returned to the previous range after 10 minutes of suctioning. On the other hand, significant differences were noticed regarding MAP, HR, and SpO2 only in the deep suctioning group with P<0.05. Conclusion: It can be concluded that deep endotracheal suctioning is more effective in removing secretions and improving SpO2. Meanwhile, it may induce higher variations in hemodynamic parameters and tube cuff pressure than shallow endotracheal suctioning. Recommendations: CCNs are recommended to perform ETT suctioning using the shallow method while deep suctioning should be used only if indicated. | ||||
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