A Quasi-Experimental Investigation of The Effects of Two Different Negative Pressure Levels During Open Endotracheal Tube Suctioning on Physiological Parameters in Mechanically Ventilated Patients in The PCCM ICU At Pt. B.D. Sharma P.G.I.M.S., Rohtak

Year : 2024 | Volume : 02 | Issue : 02 | Page : 29 58
    By

    Vikas Singh,

  • Kavita Choudhary,

  • Pawan Kumar Singh,

  1. Nurse Practitioner, Department of Nursing Critical Care, College of Nursing, Pandit Bhagwat Dayal Sharma University of Health Sciences (PGIMS), Haryana, India
  2. Jr. Lecturer, College of Nursing, Pandit Bhagwat Dayal Sharma University of Health Sciences (PGIMS), Haryana, India
  3. Associate Professor, Department of Pulmonary and Critical Care Medicine, Pandit Bhagwat Dayal Sharma University of Health Sciences (PGIMS), Haryana, India

Abstract

Introduction: Patients who are intubated often have difficulty clearing secretions through coughing. As a result, endotracheal suctioning is essential to minimize the risk of consolidation and atelectasis, which could impair ventilation. However, suctioning can pose several risks and complications, including bleeding, infection, atelectasis, hypoxemia, cardiovascular instability, increased intracranial pressure, and potential damage to the tracheal mucosa. The level of negative pressure applied during suctioning plays a crucial role in the outcome. This study aimed to evaluate the effect of two different levels of negative pressure during open endotracheal tube suctioning on physiological parameters. Methodology :- Prior permission was taken from the ethical committee of the institution. This research employed a quasi-experimental design and utilized a non-probability convenience sampling method. Participants who fulfilled the inclusion and exclusion criteria were selected and divided into two groups. Data were gathered at four different time points: right before suctioning, immediately after suctioning, 5 minutes post-suctioning, and 20 minutes post-suctioning. The data were analyzed using both descriptive and inferential statistical techniques. Results :- In Group A, the P-value was 0.000, which is below the standard significance threshold of 0.05. Similarly, in Group B, the P-value was also 0.000, indicating it is below the conventional significance level of 0.05. Discussion:- We have sufficient evidence to conclude that there is a significant difference between the average scores of hemodynamic parameters Just Before suctioning, Just After suctioning, 5 minutes after suctioning and 20 minutes after suctioning. This suggests that suctioning has an impact on hemodynamic parameters leading to significant changes in their average scores over time. As patients in group B with 200 mmHg of negative pressure had less variability in data after 20 mins after endotracheal suctioning so 200mmhg of negative pressure should be preferred.

Keywords: Patients, endotracheal suctioning, negative pressure, impair ventilation, hemodynamic parameters

[This article belongs to International Journal of Emergency and Trauma Nursing and Practices ]

How to cite this article:
Vikas Singh, Kavita Choudhary, Pawan Kumar Singh. A Quasi-Experimental Investigation of The Effects of Two Different Negative Pressure Levels During Open Endotracheal Tube Suctioning on Physiological Parameters in Mechanically Ventilated Patients in The PCCM ICU At Pt. B.D. Sharma P.G.I.M.S., Rohtak. International Journal of Emergency and Trauma Nursing and Practices. 2024; 02(02):29-58.
How to cite this URL:
Vikas Singh, Kavita Choudhary, Pawan Kumar Singh. A Quasi-Experimental Investigation of The Effects of Two Different Negative Pressure Levels During Open Endotracheal Tube Suctioning on Physiological Parameters in Mechanically Ventilated Patients in The PCCM ICU At Pt. B.D. Sharma P.G.I.M.S., Rohtak. International Journal of Emergency and Trauma Nursing and Practices. 2024; 02(02):29-58. Available from: https://journals.stmjournals.com/ijetnp/article=2024/view=186544


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Regular Issue Subscription Original Research
Volume 02
Issue 02
Received 05/11/2024
Accepted 11/11/2024
Published 25/11/2024
347

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