TY - JOUR
T1 - Changes in heart rate, mean arterial pressure, and oxygen saturation after open and closed endotracheal suctioning
T2 - A prospective observational study
AU - Jongerden, Irene P.
AU - Kesecioglu, Jozef
AU - Speelberg, Ben
AU - Buiting, Anton G.
AU - Leverstein-van Hall, Maurine A.
AU - Bonten, Marc J.
N1 - Funding Information:
The authors thank the following persons for their assistance in monitoring ES procedures and collecting data: Fieke Kloosterman, Piet Vos, Twan Verhoeven, and Frits van Beers. The authors received a grant from the N etherlands Organisation for health research and development (ZonMw project number 62300037 ); MB has received research funding from the Netherlands Organization of Scientific Research (NWO Vici 918.76.611 ).
PY - 2012/12
Y1 - 2012/12
N2 - Purpose: It is widely assumed that closed suction systems (CSSs), as compared with open suction systems (OSSs), better guarantee optimal oxygenation with less disturbance of physiologic parameters in mechanically ventilated intensive care patients. We, therefore, quantified changes in heart rate (HR), mean arterial pressure (MAP), and peripheral oxygen saturation (Spo2) in patients undergoing endotracheal suctioning (ES) with CSS and OSS. Materials and Methods: We performed a prospective observational study nested within a crossover trial in 4 intensive care units between January 2007 and February 2008. Per unit, 50 ES procedures were selected at random, and HR, MAP, and Spo2 were measured before and after ES. Results: In total, 197 complete ES procedures (103 OSS and 94 CSS) were monitored. Mean HR, MAP, and Spo2 changed directly after ES and returned to baseline after 5 minutes. Changes in HR and MAP were comparable after using CSS and OSS, whereas in Spo2, slightly better values were monitored 3 and 5 minutes after OSS, these differences being rather small (0.3%-0.7%) and clinically not relevant. Conclusions: Changes in HR, MAP, and Spo2 were comparable and mild during and after CSS and OSS. Both systems can be considered equally safe.
AB - Purpose: It is widely assumed that closed suction systems (CSSs), as compared with open suction systems (OSSs), better guarantee optimal oxygenation with less disturbance of physiologic parameters in mechanically ventilated intensive care patients. We, therefore, quantified changes in heart rate (HR), mean arterial pressure (MAP), and peripheral oxygen saturation (Spo2) in patients undergoing endotracheal suctioning (ES) with CSS and OSS. Materials and Methods: We performed a prospective observational study nested within a crossover trial in 4 intensive care units between January 2007 and February 2008. Per unit, 50 ES procedures were selected at random, and HR, MAP, and Spo2 were measured before and after ES. Results: In total, 197 complete ES procedures (103 OSS and 94 CSS) were monitored. Mean HR, MAP, and Spo2 changed directly after ES and returned to baseline after 5 minutes. Changes in HR and MAP were comparable after using CSS and OSS, whereas in Spo2, slightly better values were monitored 3 and 5 minutes after OSS, these differences being rather small (0.3%-0.7%) and clinically not relevant. Conclusions: Changes in HR, MAP, and Spo2 were comparable and mild during and after CSS and OSS. Both systems can be considered equally safe.
KW - Complications
KW - Endotracheal suctioning
KW - Intensive care
KW - Mechanical ventilation
UR - http://www.scopus.com/inward/record.url?scp=84870723464&partnerID=8YFLogxK
U2 - 10.1016/j.jcrc.2012.02.016
DO - 10.1016/j.jcrc.2012.02.016
M3 - Article
C2 - 22520496
AN - SCOPUS:84870723464
SN - 0883-9441
VL - 27
SP - 647
EP - 654
JO - Journal of Critical Care
JF - Journal of Critical Care
IS - 6
ER -