Effects of Endotracheal Tube Fixation Methods on Hemodynamic Parameters During Endotracheal Suction

NCT04199039 | Completed

• 1 other identifier: Gulay altun ugras
• Study Type: interventional
• Target: 86
• Locations: 0 countries
• Sites: N/A

Brief Summary

Background: Endotracheal suction (ES), may cause changes like increase in blood pressure, heart rate (HR) and decrease in peripheral oxygen saturation (SpO2), which may cause changes in hemodynamic parameters (HPs) that increase the workload of the heart after surgery. Aim: The aim of this study is to determine the effect of the methods used in endotracheal tube (ET) fixation on HPs \[systolic blood pressure (SBP), diastolic blood pressure (DBP), HR and SpO2\] during ES. Study Design: The sample of this prospective, single-blind non-randomized clinical trial study included 86 intubated patients who were treated in the cardiovascular surgery intensive care unit (CVSICU) of a university hospital between September 2016 and December 2017. Methods: The ET fixations of the experimental group (n=43) were performed with tube holders while the ET fixations of the control group (n=43) were performed using plasters. The HPs of the patients were measured before, during, at the end of suction and 5 and 15 minutes after suction.

Conditions

Cardiac Surgery

Keywords

endotracheal tube; nursing

Outcome Measures

Primary Outcomes (3)

• Blood pressure

  systolic blood pressure (SBP), diastolic blood pressure (DBP), mmHg

  During the suction process

• Heart rate

  beats per minute

  During the suction process

• peripheral oxygen saturation

  %, percentage of oxygenated hemoglobin in peripheral arterial blood

  During the suction process

Study Arms (2)

ET fixation with ET holder

EXPERIMENTAL

ET fixation of the patients in the study group was performed with an ET holder when they arrived at the CVS ICU

Other: Effect on Endotracheal Tube Fixation Methods on Hemodynamic Parameters During Endotracheal Suction

ET fixation with plaster

NO INTERVENTION

ET fixation in the control group was performed with plasters, which are routinely used in the ICU where the study was conducted.

Interventions

Effect on Endotracheal Tube Fixation Methods on Hemodynamic Parameters During Endotracheal Suction OTHER

When the study started, the first 43 patients were assigned to the control group and the following 43 patients were assigned to the study group in the CVS ICU. ET fixation in the control group was performed with plasters, which are routinely used in the ICU where the study was conducted. ET fixation of the patients in the study group was performed with an ET holder (AnchorFast Oral Endotracheal Tube Fastener, Hollister, Liberlyville, USA) when they arrived at the CVS ICU. The patients' SBP, DBP, HR and SpO2 values, which were displayed on the bedside monitor (Nihon Kohden, Tokyo), were recorded on the "Hemodynamic Parameters Form" just before, during, and at the end of endotracheal suction, and in the following 5th and 15th minutes.

ET fixation with ET holder

Eligibility Criteria

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

You may qualify if:

• postcardiac surgery
• having endotracheal tube

You may not qualify if:

• \- pulmonary problems

Sponsors & Collaborators

• Mersin University: lead

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: In this study only the patient was blinded. Investigators involved with the running of the study were not blinded.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: prospective, single-blind non-randomized clinical trial study

Study Record Dates

• First Submitted: December 10, 2019
• First Posted: December 13, 2019
• Study Start: September 1, 2016
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2017
• Last Updated: December 13, 2019

Record last verified: 2019-12

Data Sharing

• IPD Sharing: Will not share