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

NCT ID: NCT04053751

Last Updated: 2022-05-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-01

Study Completion Date

2019-12-20

Brief Summary

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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.

Detailed Description

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Patients will be monitored for two days. On the first day, the patient will be followed up with an open system and the second day closed suctioning system will be used, or the patient will be followed up with a closed system on the first day and followed with an open system on the second day. The patients are randomly allocated on the first follow up days. The follow-up period has two consecutive days. suctioning will be performed for 12 hours in one day. The number of suctions will be recorded. The amount of secretion will be accumulated in the mucus collection vessel. At the end of the day, the secretion will be weighed with precision weighing.

Conditions

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Secretion; Excess, Salivation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

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.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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closed suctioning system

Closed suctioning system will be compared with open suctioning system

Group Type EXPERIMENTAL

closed suctioning system

Intervention Type 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.

open suctioning system

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

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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closed suctioning system

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.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* hemodynamically unstabilized patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dokuz Eylul University

OTHER

Sponsor Role lead

Responsible Party

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Ilkin Yilmaz

Research Assisstant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dilek Ozden, PhD

Role: STUDY_DIRECTOR

Dokuz Eylul University Faculty of Nursing

Ilkin Yilmaz, PhD

Role: PRINCIPAL_INVESTIGATOR

Dokuz Eylul University Faculty of Nursing

Locations

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Dokuz Eylul University

Izmir, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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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.

Reference Type DERIVED
PMID: 37833132 (View on PubMed)

Other Identifiers

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2018.KB.SAG.025

Identifier Type: -

Identifier Source: org_study_id

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