Effects of Open and Closed System Suctioning on Suctioning Frequency and Amount of Secretion

Not Applicable

Completed

• Conditions: Secretion; Excess, Salivation
• Interventions: Procedure: closed suctioning system

• Registration Number: NCT04053751
• Lead Sponsor: Dokuz Eylul University

Brief Summary

Tracheal suctioning is a process which is often applied to patients' care who have an artificial airway and whose respiration is achieved via mechanical ventilation. When secretions are not cleaned enough, it causes a variety of complications in the patient from hypoxemia to infection.

It is reported that the studies with nurses in clinical practice have shown that they have opinions such as the closed system does not suction the patients effectively as the open system does; it remains incapable in removing secretions, thus the suctioning process is being applied more frequently.

Therefore this study is designed to examine the amount of secretions and frequency of suctioning as a result of open and closed suctioning systems.

Detailed Description

Patients will be monitored for two days. On the first day, the patient will be followed up with an open system and the second day closed suctioning system will be used, or the patient will be followed up with a closed system on the first day and followed with an open system on the second day. The patients are randomly allocated on the first follow up days. The follow-up period has two consecutive days. suctioning will be performed for 12 hours in one day. The number of suctions will be recorded. The amount of secretion will be accumulated in the mucus collection vessel. At the end of the day, the secretion will be weighed with precision weighing.

Study Timeline

• Study Start: 2019-08-01
• Study First Submitted: 2019-08-09
• Study First Submitted QC: 2019-08-09
• Study First Posted: 2019-08-12
• Primary Completion: 2019-12-15
• Study Completion: 2019-12-20
• Status Verified: 2022-05
• Last Update Submitted: 2022-05-26
• Last Update Posted: 2022-05-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• orally intubated in first 96 hours
• stabilized patients in conditionally
• platelets > 50.000
• not have hemorrhagic secretions

Exclusion Criteria

• hemodynamically unstabilized patients

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
closed suctioning system	closed suctioning system	Closed suctioning system will be compared with open suctioning system

Primary Outcome Measures

Name	Time	Method
frequency of suctioning	12 hours of a day	frequency of suctioning in a half of a day
amount of secretion	12 hours of a day	amount of secretion in a half of a day

Secondary Outcome Measures

Name	Time	Method
spo2	12 hours of a day	differences in spo2 between open and closed suctioning systems
tidal volume	12 hours of a day	differences in tidal volume between open and closed suctioning systems

Trial Locations

Locations (1)

Dokuz Eylul University; 🇹🇷 İzmir, Turkey