Efficacy of closed endotracheal suctioning in critically ill patients: A clinical trial of comparing two levels of negative suctioning pressure

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An open-labelled randomized controlled trial comparing costs and clinical outcomes of open endotracheal suctioning with closed endotracheal suctioning in mechanically ventilated medical intensive care patients.

PURPOSE Closed endotracheal suctioning (CES) may impact ventilator-associated pneumonia (VAP) risk by reducing environmental contamination. In developing countries where resource limitations constrain the provision of optimal bed space for critically ill patients, CES assumes greater importance. MATERIALS AND METHODS In this prospective, open-labeled, randomized controlled trial spanning 10 m...

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A Comparison of the effect of open and closed endotracheal suctioning on hemodynamic status of patients in the ICU

Background: If not done properly, suction causes complications such as hypoxia, cardiac arrhythmias or even death. Suction is being used in most hospital wards. Closed Suction appears to have fewer side effects, although studies have reported dissimilar results. Aim: The aim of this study was to compare the effect of open (control) with closed (test) endotracheal suctioning on patients’ Hemodyn...

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Pupillary reflex measurement predicts insufficient analgesia before endotracheal suctioning in critically ill patients

INTRODUCTION This study aimed to evaluate the pupillary dilatation reflex (PDR) during a tetanic stimulation to predict insufficient analgesia before nociceptive stimulation in the intensive care unit (ICU). METHODS In this prospective non-interventional study in a surgical ICU of a university hospital, PDR was assessed during tetanic stimulation (of 10, 20 or 40 mA) immediately before 40 end...

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Pupillary reflex measurement predict insufficient analgesia before endotracheal suctioning in critically ill patients

Pupillary reflex measurement predict insufficient analgesia before endotracheal suctioning in critically ill patients Critical Care 2013, 17:R161 doi:10.1186/cc12840 Jerome Paulus ([email protected]) Antoine Roquilly ([email protected]) Hélène Beloeil ([email protected]) Julien Théraud ([email protected]) Karim Asehnoune ([email protected]) Corin...

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Open versus Closed Endotracheal Suctioning in the Intensive Care Comparison of Closed Endotracheal Suction Versus

BACKGROUND: Ventilator-associated pneumonia (VAP), a frequent nosocomial infection in the intensive care, is associated with considerable morbidity. Endotracheal suctioning is routinely performed in mechanically ventilated patients to clear secretions. This study assessed if there were advantages of closed endotracheal suctioning (CES) over open endotracheal suctioning (OES) with respect to cli...

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ژورنال

عنوان ژورنال: Nursing Practice Today

سال: 2019

ISSN: 2383-1162,2383-1154

DOI: 10.18502/npt.v6i2.910