Effects of Open and Closed System Suctioning on Suctioning Frequency and Amount of Secretion

NCT04053751 | Completed

• 1 other identifier: 2018.KB.SAG.025
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Tracheal suctioning is a process which is often applied to patients' care who have an artificial airway and whose respiration is achieved via mechanical ventilation. When secretions are not cleaned enough, it causes a variety of complications in the patient from hypoxemia to infection. It is reported that the studies with nurses in clinical practice have shown that they have opinions such as the closed system does not suction the patients effectively as the open system does; it remains incapable in removing secretions, thus the suctioning process is being applied more frequently. Therefore this study is designed to examine the amount of secretions and frequency of suctioning as a result of open and closed suctioning systems.

Conditions

Secretion; Excess, Salivation

Keywords

intensive care unit; endotracheal suctioning; open suctioning system; closed suctioning system; nursing

Outcome Measures

Primary Outcomes (2)

• frequency of suctioning

  frequency of suctioning in a half of a day

  12 hours of a day

• amount of secretion

  amount of secretion in a half of a day

  12 hours of a day

Secondary Outcomes (2)

• spo2

  12 hours of a day

• tidal volume

  12 hours of a day

Study Arms (2)

closed suctioning system

EXPERIMENTAL

Closed suctioning system will be compared with open suctioning system

Procedure: closed suctioning system

open suctioning system

NO INTERVENTION

The patient will be monitored with closed system for one day and open aspiration system on the other day.

Interventions

closed suctioning system PROCEDURE

a randomized allocated patient will be monitored for two days. Closed suctioning system will evaluate as experimental group. open suctioning system will evaluate as control group.

closed suctioning system

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• orally intubated in first 96 hours
• stabilized patients in conditionally
• platelets \> 50.000
• not have hemorrhagic secretions

You may not qualify if:

• hemodynamically unstabilized patients

Sponsors & Collaborators

• Dokuz Eylul University: lead

Study Sites (1)

Dokuz Eylul University

Izmir, Turkey (Türkiye)

Location

Related Publications (1)

• Yilmaz I, Ozden D. The effects of open and closed system endotracheal suctioning methods on suctioning frequency, amount of secretion, and haemodynamics: A single-blind, randomised, 2 x 2 crossover trial. Aust Crit Care. 2024 Jan;37(1):25-33. doi: 10.1016/j.aucc.2023.09.002. Epub 2023 Oct 11.

  PMID: 37833132 DERIVED

MeSH Terms

Conditions

Sialorrhea

Condition Hierarchy (Ancestors)

Salivary Gland Diseases; Mouth Diseases; Stomatognathic Diseases

Study Officials

• Dilek Ozden, PhD

  Dokuz Eylul University Faculty of Nursing

  STUDY DIRECTOR

• Ilkin Yilmaz, PhD

  Dokuz Eylul University Faculty of Nursing

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assisstant

Model Details: Randomized controlled crossover trial. There are two arms. open and closed suctioning systems (OSS vs CSS). the patients are randomized. They are monitorized for two days. If a patient is suctioned via OSS in the first enrolled day, the same patient is suctioned via CSS in the second enrolled day. For CSS, vice versa.

Study Record Dates

• First Submitted: August 9, 2019
• First Posted: August 12, 2019
• Study Start: August 1, 2019
• Primary Completion: December 15, 2019
• Study Completion: December 20, 2019
• Last Updated: May 27, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)