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

Study Overview
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Brief Summary
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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
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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.

Official Title
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Effects of Open and Closed System Endotracheal Suctioning Methods on Suctioning Frequency and Amount of Secretion

Conditions
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Secretion; Excess, Salivation

Intervention / Treatment
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* Procedure: closed suctioning system


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: orally intubated in first 96 hours stabilized patients in conditionally platelets > 50.000 not have hemorrhagic secretions Exclusion Criteria: hemodynamically unstabilized patients

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Randomized controlled crossover trial. There are two arms. open and closed suctioning systems (OSS vs CSS). the patients are randomized. They are monitorized for two days. If a patient is suctioned via OSS in the first enrolled day, the same patient is suctioned via CSS in the second enrolled day. For CSS, vice versa.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: closed suctioning system<br>Closed suctioning system will be compared with open suctioning system | Procedure: closed suctioning system<br>* a randomized allocated patient will be monitored for two days. Closed suctioning system will evaluate as experimental group. open suctioning system will evaluate as control group.<br>|
| No Intervention: open suctioning system<br>The patient will be monitored with closed system for one day and open aspiration system on the other day. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| frequency of suctioning | frequency of suctioning in a half of a day | 12 hours of a day | 
| amount of secretion | amount of secretion in a half of a day | 12 hours of a day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| spo2 | differences in spo2 between open and closed suctioning systems | 12 hours of a day | 
| tidal volume | differences in tidal volume between open and closed suctioning systems | 12 hours of a day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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intensive care unit, endotracheal suctioning, open suctioning system, closed suctioning system, nursing