NCT06143865 - Closed Aspiration on Hemodynamic Changes and Pain | Crick

Overview

The study was planned to determine the effects of closed aspiration on arterial blood pressure, heart rate, respiratory rate, oxygen saturation level and pain in intensive care patients connected to mechanical ventilators. IThe effects of the closed aspiration system on hemodynamic parameters and pain will be determined and the results will be important in terms of the usability of the closed system in the clinical environment and raising awareness in nursing practices in order to create minimum complications for the patient.

The research iss carried out in a single group pretest posttest quasi-experimental design in order to determine the effects of closed aspiration on arterial blood pressure, heart rate, respiratory rate, oxygen saturation level and pain in intensive care unit patients with mechanical ventilation. The research is carried out in Anesthesiology and Reanimation Intensive Care Unit. The sample of the study is patients who was intubated, not sedated, systolic arterial blood pressure 110-140 mmHg, diastolic arterial blood pressure between 60-90 mmHg, heart rate between 60-100/min, respiratory rate between 12-20/min, oxygen with saturation level (SpO2) \>86%. Data is collected from the hospital's electronic patient record system and observationally before and after the aspiration. "Patient Description Form", "Hemodynamic Status and Pain Monitoring Form", "Behavioral Pain Scale" is used to collect research data.

Study Type

INTERVENTIONAL

Allocation

NA

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

67

Conditions

Aspiration

Interventions

Closed system aspirationPROCEDURE

Aspiration catheter; it is part of the ventilator and the ventilator circuit. The catheter is stored in a protective sheath. Therefore, the catheter can be used repeatedly during the day.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * over 18 years, * Intubated * Connected to mechanical ventilator, * Not receiving sedation, * Not unconscious, * Monitored, * Systolic arterial blood pressure is between 110-140 mmHg and diastolic arterial blood pressure is between 60-90 mmHg, * Heart rate between 60-100/min, * Respiratory rate between 12-20/min, * Body temperature not higher than 38º C, * Oxygen saturation level (SpO2) \>86% Exclusion Criteria: * Not intubated, * Received a diagnosis related to the respiratory system, * Unconscious or sedated curare

Locations (1)

Elif Günay İsmailoğlu

Izmir, Menemen, Turkey (Türkiye)

Outcomes

Primary Outcomes

Hemodynamic status form 1

This form was used to record the arterial blood pressure, respiratory rate, oxygen saturation, heart rate of the patients.

Time frame: 1 minute after aspiration.

Hemodynamic status form 2

This form was used to record the arterial blood pressure, respiratory rate, oxygen saturation, heart rate of the patients

Time frame: 5 minute after aspiration.

Hemodynamic status form 3

This form was used to record the hemodynamic parameters arterial blood pressure, respiratory rate, oxygen saturation, heart rate of the patients.

Time frame: 30 minutes after aspiration.

Behavioral pain scale 1

It consists of three items: facial expression, upper extremities, and compliance with the ventilator. For each item, there are four variables that include behavioral responses to pain. Each section is given a score between 1-4. The score obtained from the scale is between 3-12. Higher scores indicate increased pain intensity.

Time frame: 1st after aspiration.

Behavioral pain scale 2

It consists of three items: facial expression, upper extremities, and compliance with the ventilator. For each item, there are four variables that include behavioral responses to pain. Each section is given a score between 1-4. The score obtained from the scale is between 3-12. Higher scores indicate increased pain intensity.

Time frame: 5th minutes after aspiration.

Behavioral pain scale 3

It consists of three items: facial expression, upper extremities, and compliance with the ventilator. For each item, there are four variables that include behavioral responses to pain. Each section is given a score between 1-4. The score obtained from the scale is between 3-12. Higher scores indicate increased pain intensity.