Clinical trial NCT04053751: Effects of Open and Closed System Suctioning on Suctioning Frequency and Amount of Secretion
Official title: Effects of Open and Closed System Endotracheal Suctioning Methods on Suctioning Frequency and Amount of Secretion
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Secretion; Excess, Salivation
Keywords: intensive care unit
endotracheal suctioning
open suctioning system
closed suctioning system
nursing
Lead sponsor: Dokuz Eylul University
Sponsor class: OTHER
First posted: 2019-08-12
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention 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.
Primary purpose: HEALTH_SERVICES_RESEARCH

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.

Eligibility criteria: Inclusion Criteria:

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

Exclusion Criteria:

* hemodynamically unstabilized patients

Primary outcomes:
measure: frequency of suctioning
timeFrame: 12 hours of a day
measure: amount of secretion
timeFrame: 12 hours of a day
Secondary outcomes:
measure: spo2
timeFrame: 12 hours of a day
measure: tidal volume
timeFrame: 12 hours of a day
Other outcomes:
Locations:
city: İzmir
country: Turkey
facility: Dokuz Eylul University
Study officials:
affiliation: Dokuz Eylul University Faculty of Nursing
name: Dilek Ozden, PhD
role: STUDY_DIRECTOR
affiliation: Dokuz Eylul University Faculty of Nursing
name: Ilkin Yilmaz, PhD
role: PRINCIPAL_INVESTIGATOR
References: