Comparison between Outcomes of implementing shallow versus deep endotracheal tube suctioning among mechanically ventilated patients

Abstract

Background: In Intensive Care Units (ICUs), the primary objective of nursingintervention for patients who are ventilated and intubated is to maintain a cleanairway. Alveolar collapse, atelectasis, and infection are possible risks for patientsundergoing intubation. Objective: To Compare between Outcomes of implementingshallow vs deep endotracheal tube suctioning among mechanically ventilatedpatients. Settings: The study was carried out at the Intensive Care Units of thefollowing hospitals: Alexandria Main University Hospital (AMUH) that includesfour 4 Critical care units namely: Unit (II) with a bed capacity of 12 beds unit (III)with a bed capacity of 18 beds (IV) with a bed capacity of 8 beds and unit (V) with abed capacity of 12 beds. Subjects: Eighty 80 critically ill adult patients receivinginvasive mechanical ventilation were selected for this analysis. Tools: two toolswere used. Tool I: Adult endotracheal suctioning management tool " Tool II: painassessment ". Results: The study showed that there was highly statisticallysignificant difference found between the two groups regarding their catheter suctionsize, at (P <0.001). On the other hand, there were highly statistically significantdifferences found between the mean Glasgow coma scores differences among thestudied patients' and the all items of their bio-demographic data, at (P <0.001).Conclusion: The application of the shallow suction system leads to fewerdisturbances in the hemodynamic parameters especially, in respiratory rate, oxygensaturation, heart rate, mean arterial blood pressures compared to deep suctionsystem in mechanically ventilated patients. Recommendations: Staff should takemore protection procedure when they deal with critically ETT ill patients becausethis can help in determining how well the task is performed and identifying factorsthat help or hinder procedure achievement.