Pratibha Rani Nanda
Rajpati Amrawat
Shaveta
- M. Sc (N) Scholar, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Haryana, India
- Senior Lecturer, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Haryana, India
- Assistant Professor, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Haryana, India
Abstract
Background of the Study: The ability to breathe artificially prolongs life in many situations. Patients requiring mechanical breathing in the intensive care unit are more likely to have complications and even death due to a variety of interconnected causes. As a result, it became critical to rapidly ventilate in the safest and most efficient manner available. Intubated patients have benefited from nebulized suctioning, as it improves lung clearance and decreases the risk of infection. Objectives: To evaluate the effect of nebulization with 3% hypertonic saline for airway clearance on mechanically ventilated patients admitted to ICUs by Pt. B. D. Sharma, PGIMS, Rohtak. Methodology: For this study, a quasi-experimental research design was selected, and the samples for the study were selected from the ICUs of PGIMS Rohtak, Haryana. Samples were chosen using a convenience sampling approach, with a total sample size of 40. Data collection was done with the structured tool, which consisted of socio-demographic variables, clinical variables, and bio-physiological parameters. The collected data was subjected to analysis utilizing both descriptive and inferential statistical methods. Results: During the pre-test, among the samples in the experimental group, the post-test mean and standard deviation were 3.40±2.30. The control group exhibited a post-test mean and standard deviation score of 10.50±2.60, with a mean difference score of 7.1. The independent ‘t’ test value, computed with degrees of freedom, was –9.130. This reached statistical significance at a p value of <.005. Conclusion: Maintaining airway patency in mechanically ventilated patients using hypertonic saline nebulization has been demonstrated to be a straightforward, low-cost, and successful therapy method.
Keywords: Hypertonic saline nebulized suctioning, mechanical ventilation, airway clearance
[This article belongs to International Journal of Emergency and Trauma Nursing and Practices(ijetnp)]
References
- Dorthy, et al. Fundamentals of Nursing Research. 2nd Ed USA: Jones and Bartlet Publication; 1995.
- Caruso Pedro, et al. Saline instillation before tracheal suctioning decreases the incidence of ventilator associated Crit Care Med. 2009; 37(1): 32–38.
- Donald EC. Preventing Ventilator-Associated Pneumonia in Adults-Sowing Seeds of Change. Chest. 2006; 30(1): 251–
- Riedler J, Reade T, Button B, Robertson CF. A pilot study of inhaled hypertonic saline to increase sputum production in adolescents with cystic fibrosis [abstract]. Eur Respir J. 1994; 7(Suppl 18): [CFGD Register: BD69c] [Google Scholar]
- Alpern AN, Brumback LC, Ratjen F, Rosenfeld M, Davis SD, Quittner AL. Initial evaluation of the Parent Cystic Fibrosis Questionnaire‐‐Revised (CFQ‐R) in infants and young children. Journal of Cystic Fibrosis: Official Journal of the European Cystic Fibrosis Society. 2015; 14(3): 403–
- Sobhy A, Hussiny A, Kamal M. Evaluation of the use of Hypertonic Saline 3% Nebulizer Intravenous Hypertonic Saline 3% to Attenuate the Manifestations of Acute Respiratory Distress Syndrome. Open Anesth J [Internet]. 2020 Sep 5; 14(1): 52–61. [cited 2023 Nov 24].
- Shein SL, Gallagher JT, Deakins KM, Weinert DM. Prophylactic Use of Nebulized Hypertonic Saline in Mechanically Ventilated Children: A Randomized Blinded Pilot Study. Respir 2016 May 1;61(5):586–92.
- Metilda, Jaganath. Effect of Nebulized Suctioning with 3% Hypertonic Saline for Mechanically Ventilated Patient on Airway Clearance. Int J Innov Sci Res Technol.2020; 5(9): 529–10.38124/IJISRT20SEP404.
| Volume | 01 |
| Issue | 02 |
| Received | November 25, 2023 |
| Accepted | December 7, 2023 |
| Published | January 1, 2024 |