Efficacy of Closed and Open Endotracheal Suction on Prevention of Ventilator-Associated Pneumonia on Patients Admitted to Critical Care Unit at Tertiary Care Hospital

Background: Endotracheal suctioning is a method commonly used to clean airway secretions in patients under mechanical ventilation. This study aimed to compare the effects of open and closed suction methods on the occurrence of ventilator-associated pneumonia (VAP). In the open endotracheal suction,...

Full description

Saved in:
Bibliographic Details
Published inJournal of Datta Meghe Institute of Medical Sciences University Vol. 18; no. 2; pp. 192 - 198
Main Authors Mulla, Ruksar Jainuddin, Mohite, Vaishali Rajsinh
Format Journal Article
LanguageEnglish
Published 01.04.2023
Online AccessGet full text

Cover

Loading…
Abstract Background: Endotracheal suctioning is a method commonly used to clean airway secretions in patients under mechanical ventilation. This study aimed to compare the effects of open and closed suction methods on the occurrence of ventilator-associated pneumonia (VAP). In the open endotracheal suction, the approach necessitates the participation of two nurses and may result in a momentary interruption of ventilation and oxygen supply due to the patient’s disconnection from the ventilation device during suctioning. In the closed endotracheal suction, the approach can be performed through connections in a closed suction set while the patient is ventilated without separating the patient from the ventilator. Objective: (1). To compare the close endotracheal suction with open endotracheal suction for the prevention of VAP. (2) To assess the incidence of VAP among intubated patients. Materials and Methods: The study was conducted among 60 patients who are on mechanical ventilator in the critical care unit in tertiary care hospital. For the study, simple random sampling technique is used for the selection of sample. Using a lottery method of sampling, one in the experimental group and one in the control group on the basis of inclusion criteria. Results: The study was done on patients who are on mechanical ventilators in the critical care unit in tertiary care hospitals. The data analysis was done using descriptive and inferential statistics. The study finding revealed that in VAP scoring of the patient’s 1 st and 2 nd day in open endotracheal suction, there are no significant changes in open endotracheal suction then null hypothesis was accepted ( t = 0.9, P = 0.37). VAP scoring of the patient’s 2 nd and 3 rd day and 3 rd and 1 st day in open endotracheal suction, there are significant changes in open endotracheal suction method in null hypothesis was rejected ( P < 0.05). VAP scoring of the patient’s 1 st and 2 nd day and 2 nd and 3 rd day and 3 rd and 1 st day in closed endotracheal suction, there are significant changes in closed endotracheal suction then null hypothesis was rejected ( P < 0.05). Conclusion: The study assessed the efficacy of open endotracheal suction versus closed endotracheal suction on age, sex, duration of hospital stays, return of mechanical ventilation, and mode of ventilation are not significant but the duration of mechanical ventilation is significant. The nurses play a vital role in assessing the cardiac monitor while doing suctioning to prevent cardiorespiratory complications.
AbstractList Background: Endotracheal suctioning is a method commonly used to clean airway secretions in patients under mechanical ventilation. This study aimed to compare the effects of open and closed suction methods on the occurrence of ventilator-associated pneumonia (VAP). In the open endotracheal suction, the approach necessitates the participation of two nurses and may result in a momentary interruption of ventilation and oxygen supply due to the patient’s disconnection from the ventilation device during suctioning. In the closed endotracheal suction, the approach can be performed through connections in a closed suction set while the patient is ventilated without separating the patient from the ventilator. Objective: (1). To compare the close endotracheal suction with open endotracheal suction for the prevention of VAP. (2) To assess the incidence of VAP among intubated patients. Materials and Methods: The study was conducted among 60 patients who are on mechanical ventilator in the critical care unit in tertiary care hospital. For the study, simple random sampling technique is used for the selection of sample. Using a lottery method of sampling, one in the experimental group and one in the control group on the basis of inclusion criteria. Results: The study was done on patients who are on mechanical ventilators in the critical care unit in tertiary care hospitals. The data analysis was done using descriptive and inferential statistics. The study finding revealed that in VAP scoring of the patient’s 1 st and 2 nd day in open endotracheal suction, there are no significant changes in open endotracheal suction then null hypothesis was accepted ( t = 0.9, P = 0.37). VAP scoring of the patient’s 2 nd and 3 rd day and 3 rd and 1 st day in open endotracheal suction, there are significant changes in open endotracheal suction method in null hypothesis was rejected ( P < 0.05). VAP scoring of the patient’s 1 st and 2 nd day and 2 nd and 3 rd day and 3 rd and 1 st day in closed endotracheal suction, there are significant changes in closed endotracheal suction then null hypothesis was rejected ( P < 0.05). Conclusion: The study assessed the efficacy of open endotracheal suction versus closed endotracheal suction on age, sex, duration of hospital stays, return of mechanical ventilation, and mode of ventilation are not significant but the duration of mechanical ventilation is significant. The nurses play a vital role in assessing the cardiac monitor while doing suctioning to prevent cardiorespiratory complications.
Author Mulla, Ruksar Jainuddin
Mohite, Vaishali Rajsinh
Author_xml – sequence: 1
  givenname: Ruksar Jainuddin
  surname: Mulla
  fullname: Mulla, Ruksar Jainuddin
  organization: Nurse Practitioner Critical Care Nursing Student, Krishna Institute of Nursing Sciences, KIMSDU, Karad, Maharashtra, India
– sequence: 2
  givenname: Vaishali Rajsinh
  surname: Mohite
  fullname: Mohite, Vaishali Rajsinh
  organization: Medical Surgical Nursing, Krishna Institute of Nursing Sciences, KIMSDU, Karad, Maharashtra, India
BookMark eNpVUNtqAjEQDcVCrfUXSn5gbS67iXmUxdaCoFDt6zJmExpZE0lioT_U7-xa7UNh4Mx9zpx7NPDBG4QeKZmUlPCnfXtwh3SaXLERdNowdoOGjFWkoIzTARoSJcuCK0Lv0DilPSGEKUG5lEP0PbfWadBfOFhcdyGZFoNv8epoPJ77NuQI-sNAh99OOrvgcW_raD6Nv0QWv5_dDnKIxSyloB3kfsnam9MheAe_A5Bd35XwrKeZz-UccB1d7k93uIZo8Na7jCHjjYnZQfy6ZBchHV2G7gHdWuiSGV9xhLbP8029KJarl9d6tiw0FRUrWNkqWlWtJIxLakAozSwh06nQUimtdm0JVvX_64oC3XFiZamFoIarCpg0fITEZa-OIaVobHOM7tDTaShpzoI3f0L_F5z_APp3fZQ
Cites_doi 10.21608/ejhc.2019.196307
10.1097/00000542-200601000-00008
10.4103/0300-1652.103543
10.1097/00003465-199403000-00004
10.1007/s00134-003-2153-9
10.1097/01.CCM.0000150267.40396.90
10.1093/tropej/fmp019
10.4037/ajcc1999.8.2.93
ContentType Journal Article
DBID AAYXX
CITATION
DOI 10.4103/jdmimsu.jdmimsu_618_22
DatabaseName CrossRef
DatabaseTitle CrossRef
DatabaseTitleList CrossRef
DeliveryMethod fulltext_linktorsrc
EISSN 2250-1231
EndPage 198
ExternalDocumentID 10_4103_jdmimsu_jdmimsu_618_22
GroupedDBID AAYXX
ACGFS
ALMA_UNASSIGNED_HOLDINGS
CITATION
H13
IAO
IHR
ITC
KQ8
OK1
OVD
RMW
TEORI
W3E
ID FETCH-LOGICAL-c1652-24d9155d702371ea69c2f00886c799c9bd4af9000c51a1b30f74c661e395a27e3
ISSN 0974-3901
IngestDate Thu Sep 26 20:31:07 EDT 2024
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 2
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c1652-24d9155d702371ea69c2f00886c799c9bd4af9000c51a1b30f74c661e395a27e3
OpenAccessLink https://doi.org/10.4103/jdmimsu.jdmimsu_618_22
PageCount 7
ParticipantIDs crossref_primary_10_4103_jdmimsu_jdmimsu_618_22
PublicationCentury 2000
PublicationDate 2023-04-00
PublicationDateYYYYMMDD 2023-04-01
PublicationDate_xml – month: 04
  year: 2023
  text: 2023-04-00
PublicationDecade 2020
PublicationTitle Journal of Datta Meghe Institute of Medical Sciences University
PublicationYear 2023
References Lorente (R8-20240829) 2005; 33
Revelas (R2-20240829) 2012; 53
Lasocki (R7-20240829) 2006; 104
Lindgren (R6-20240829) 2004; 30
Prem Kumar (R9-20240829) 2014
Harsha (R3-20240829) 2009; 55
Dadkhah (R10-20240829) 2017; 19
Sayed (R11-20240829) 2019; 10
DePew (R4-20240829) 1994; 13
Glass (R5-20240829) 1999; 8
References_xml – volume: 10
  start-page: 409
  year: 2019
  ident: R11-20240829
  article-title: Effect of open versus closed suction system on cardiorespiratory parameters and suction duration among critically ill mechanically ventilated patients
  publication-title: Egypt J Health Care
  doi: 10.21608/ejhc.2019.196307
  contributor:
    fullname: Sayed
– volume: 104
  start-page: 39
  year: 2006
  ident: R7-20240829
  article-title: Open and closed-circuit endotracheal suctioning in acute lung injury:Efficiency and effects on gas exchange
  publication-title: Anaesthesiology
  doi: 10.1097/00000542-200601000-00008
  contributor:
    fullname: Lasocki
– volume: 53
  start-page: 59
  year: 2012
  ident: R2-20240829
  article-title: Healthcare–associated infections: A public health problem
  publication-title: Nigerian medical journal: journal of the Nigeria Medical Association
  doi: 10.4103/0300-1652.103543
  contributor:
    fullname: Revelas
– volume: 19
  start-page: 169
  year: 2017
  ident: R10-20240829
  article-title: Comparative study of vital signs during open and closed suctioning in patients with head trauma hospitalized in ICU
  publication-title: J Health Care
  contributor:
    fullname: Dadkhah
– volume: 13
  start-page: 73
  year: 1994
  ident: R4-20240829
  article-title: Inline closed-system suctioning:A research analysis
  publication-title: Dimens Crit Care Nurs
  doi: 10.1097/00003465-199403000-00004
  contributor:
    fullname: DePew
– volume: 30
  start-page: 1630
  year: 2004
  ident: R6-20240829
  article-title: Effectiveness and side effects of closed and open suctioning:An experimental evaluation
  publication-title: Intensive Care Med
  doi: 10.1007/s00134-003-2153-9
  contributor:
    fullname: Lindgren
– volume: 33
  start-page: 115
  year: 2005
  ident: R8-20240829
  article-title: Ventilator-associated pneumonia using a closed versus an open tracheal suction system
  publication-title: Crit Care Med
  doi: 10.1097/01.CCM.0000150267.40396.90
  contributor:
    fullname: Lorente
– volume: 55
  start-page: 393
  year: 2009
  ident: R3-20240829
  article-title: Study of profile of ventilator-associated pneumonia in children in Punjab
  publication-title: J Trop Pediatr
  doi: 10.1093/tropej/fmp019
  contributor:
    fullname: Harsha
– year: 2014
  ident: R9-20240829
  article-title: Effectiveness of Open Suction vs. Closed Suction Method on Cardio Respiratory Parameters among Patients with Mechanical Ventilators, in Selected Hospital, Chennai (Doctoral Dissertation, Indira College of Nursing, Pandur)
  contributor:
    fullname: Prem Kumar
– volume: 8
  start-page: 93
  year: 1999
  ident: R5-20240829
  article-title: Endotracheal tube narrowing after closed-system suctioning:Prevalence and risk factors
  publication-title: Am J Crit Care
  doi: 10.4037/ajcc1999.8.2.93
  contributor:
    fullname: Glass
SSID ssj0002961377
Score 2.2717943
Snippet Background: Endotracheal suctioning is a method commonly used to clean airway secretions in patients under mechanical ventilation. This study aimed to compare...
SourceID crossref
SourceType Aggregation Database
StartPage 192
Title Efficacy of Closed and Open Endotracheal Suction on Prevention of Ventilator-Associated Pneumonia on Patients Admitted to Critical Care Unit at Tertiary Care Hospital
Volume 18
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Nb9QwELWWcuGCQID4lg_cVmk3jpOsjwgWVZUWIbSteoscx4GUbYI2yaU_qP-O_8CMP5JQFkSRVtnIka0k82TPOG_eEPJGKlHkIowDuCoDrsAWyyLJA6kWSqgyLhnHROH1x-T4lJ-cx-ez2Y8Ja6nv8kN1tTev5H-sCm1gV8ySvYVlh0GhAc7BvnAEC8Pxn2y8Qv0HrNeOnIpt02qjuzpHksh8VUO8uUO5ZtT7sBqx-GXAazZZP_EMT7cYeAfeUDDIp1r38BCVNB2s8mprdHY7vAzu6lAhAfOXjOOKWZEbJGkjDc-0-pIkf_B_38uuk_O1_mLomxPKgv925KadCYNnZCxD4Gy93v5bK3fzE1nVfVFUA9LXjS_8d2bqS2-r-Wd50Vb11-k2B4sm7Bi3X5nyADdo7MJl2mAuQmqJW0Z-m86HqNrOzaEtuueW-dAWv765gvBwgUoWF_BGL9v-0P1nSbjMGBvXTM8TuLGUDgRHCK1wpMz3_3WcO-QuQ2F_TICKxi1BJhLUfzTqkO5hbU47DnW0_5Ym7tTEL9o8IPedQelbi86HZKbrR-TaI5M2JbXIpIBMisikU2RSh0wKvxGZ2GsvMumATNPBIZN6ZNKuoR6ZFDFIEZlUdtQj07Z6ZD4mpx9Wm3fHgasIEqgwiVnAeIH1DIoUAJKGWiZCsRK82GWiUiGUyAsuSyyDq-JQhnm0KFOuwAPVkYglS3X0hBzUTa2fEsrA8-ZKGhcXgpIkTxYlV7mIdJznKo6ekSP_YrPvVvgl-7tVn9-6xwtyb4T6S3LQ7Xr9CnzcLn9tkPETCUC2_Q
link.rule.ids 315,786,790,27946,27947
linkProvider Wolters Kluwer Health
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Efficacy+of+Closed+and+Open+Endotracheal+Suction+on+Prevention+of+Ventilator-Associated+Pneumonia+on+Patients+Admitted+to+Critical+Care+Unit+at+Tertiary+Care+Hospital&rft.jtitle=Journal+of+Datta+Meghe+Institute+of+Medical+Sciences+University&rft.au=Mulla%2C+Ruksar+Jainuddin&rft.au=Mohite%2C+Vaishali+Rajsinh&rft.date=2023-04-01&rft.issn=0974-3901&rft.eissn=2250-1231&rft.volume=18&rft.issue=2&rft.spage=192&rft.epage=198&rft_id=info:doi/10.4103%2Fjdmimsu.jdmimsu_618_22&rft.externalDBID=n%2Fa&rft.externalDocID=10_4103_jdmimsu_jdmimsu_618_22
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0974-3901&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0974-3901&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0974-3901&client=summon