Comparing the Effect of Using Normal Saline and Distilled Water for Tracheal Suctioning on the Incidence of Ventilator-associated Pneumonia and Hemodynamic Indexes in Ventilator-dependent Patients

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Shafee Maryam; ESMAEILI MARYAM; ABBASI DOLATABADI ZAHRA; SADEGHI TAHEREH

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Journal: Journal of Multidisciplinary Care Year:2020 | Volume:9 | Issue:2 Page(s): 689-698

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Title

Comparing the Effect of Using Normal Saline and Distilled Water for Tracheal Suctioning on the Incidence of Ventilator-associated Pneumonia and Hemodynamic Indexes in Ventilator-dependent Patients

Author(s)

Shafee Maryam | ESMAEILI MARYAM | ABBASI DOLATABADI ZAHRA | SADEGHI TAHEREH | Issue Writer Certificate

Keywords

Normal SalineQ1

Distilled WaterQ2

SuctioningQ1

Ventilator Associate PneumoniaQ2

Abstract

Background & Aims: VAP prevention is a top priority in the intensive care units. The study was conducted to compare the effect of using Normal Saline and Distilled Water for tracheal Suctioning on the incidence of ventilator-associated pneumonia and hemodynamic indexes in ventilator-dependent patients. Methods: The present study is a randomized clinical trial that was conducted from 2017 to 2018 on 60 ventilator-dependent patients in the ICUs of Jafar Sadeg Hospital affiliated to Alborz University of Medical Sciences. Patients were allocated to the two intervention and control groups by block random allocation method. The hemodynamic parameters of patients (respiratory rate, heart rate, blood pressure, and SPO2) were recorded in a form 5 minutes before and after the Suctioning in each Shift. Finally, the incidence of VAP and changes in hemodynamic indexes in the two groups were compared. Results: The two groups did not differ from each other significantly (P = 0. 79) in terms of tracheal culture and incidence of VAP. The results showed that intra-group hemodynamic indexes (heart rate, blood pressure, respiratory rate and SPO2) did not differ significantly before and after the Suctioning in Normal Saline and Distilled Water groups. The inter-group test showed that, the two groups only had a significant difference in the level of arterial oxygen saturation after the intervention (p = 0. 006). Conclusion: As the level of SPO2 was higher in the Normal Saline group, it is better to use Normal Saline as a diluent for pulmonary secretions before tracheal Suctioning.

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References

Heat and moisture exchangers (HMEs) and heated humidifiers (HHs) in adult critically ill patients: a systematic review, meta-analysis and meta-regression of randomized controlled trials

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APA: Copy

Shafee, Maryam, ESMAEILI, MARYAM, ABBASI DOLATABADI, ZAHRA, & SADEGHI, TAHEREH. (2020). Comparing the Effect of Using Normal Saline and Distilled Water for Tracheal Suctioning on the Incidence of Ventilator-associated Pneumonia and Hemodynamic Indexes in Ventilator-dependent Patients. JOURNAL OF MULTIDISCIPLINARY CARE (JOURNAL OF CLINICAL NURSING AND MIDWIFERY), 9(2 ), 689-698. SID. https://sid.ir/paper/369912/en

Vancouver: Copy

Shafee Maryam, ESMAEILI MARYAM, ABBASI DOLATABADI ZAHRA, SADEGHI TAHEREH. Comparing the Effect of Using Normal Saline and Distilled Water for Tracheal Suctioning on the Incidence of Ventilator-associated Pneumonia and Hemodynamic Indexes in Ventilator-dependent Patients. JOURNAL OF MULTIDISCIPLINARY CARE (JOURNAL OF CLINICAL NURSING AND MIDWIFERY)[Internet]. 2020;9(2 ):689-698. Available from: https://sid.ir/paper/369912/en

IEEE: Copy

Maryam Shafee, MARYAM ESMAEILI, ZAHRA ABBASI DOLATABADI, and TAHEREH SADEGHI, “Comparing the Effect of Using Normal Saline and Distilled Water for Tracheal Suctioning on the Incidence of Ventilator-associated Pneumonia and Hemodynamic Indexes in Ventilator-dependent Patients,” JOURNAL OF MULTIDISCIPLINARY CARE (JOURNAL OF CLINICAL NURSING AND MIDWIFERY), vol. 9, no. 2 , pp. 689–698, 2020, [Online]. Available: https://sid.ir/paper/369912/en

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