Facilitated Tucking Position During Endotracheal Suctioning

Kafrelsheikh University40 enrolled

Overview

Aim of the present study The present study will aimed to determine the effect of facilitated tucking position during endotracheal suctioning on physiological criteria and behavioural responses of the preterm neonates. Research Hypotheses 1. Preterm neonates who receive facilitated tucking position during endotracheal suctioning exhibit more stable physiological criteria than those who do not. 2. Preterm neonates who receive facilitated tucking position during endotracheal suctioning exhibit more stable behavioral responses than those who do not.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Respiratory Distress Syndrome

Interventions

tucking position during endotracheal suctioningPROCEDURE

, the staff nurse will perform the endotracheal suctioning while the researcher will carried out the intervention

Eligibility

Sex: ALLMin age: 32 WeeksMax age: 36 WeeksHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Gestational age between 32 and 36 weeks, weight 1200 grams or greater. * Postnatal age: two days after delivery to allow for resolution of analgesia or anesthesia received by their mothers during labor. * Have endotracheal intubation. Exclusion Criteria: * Preterm neonates who have congenital anomalies or neurological malformations, intracranial hemorrhage, seizures. * Preterm neonates who received sedatives within four hours before the intervention * Preterm neonates who exposed to any uncomfortable procedure for at least 30 minutes prior to the intervention.

Locations (1)

Kafrelsheikh University

Kafr ash Shaykh, Kafr el-Sheikh Governorate, Egypt

Outcomes

Primary Outcomes

Change from baseline of heart rate of preterm neonates on Neonates' Physiological Assessment Tool during and immediately following the endotracheal suction procedure

Neonates' Physiological Assessment Tool was developed by researchers after a review of relevant literature to assess Physiological Parameters of preterm neonates as Heart Rate (HR)

Time frame: during procedural and immediately after procedure

Change from baseline of Respiratory Rate of preterm neonates on Neonates' Physiological Assessment Tool during and immediately following the endotracheal suction procedure

Neonates' Physiological Assessment Tool was developed by researchers after a review of relevant literature to assess Physiological Parameters of preterm neonates as Respiratory Rate (RR)

Time frame: during procedural and immediately after procedure

Change from baseline of oxygen saturation in blood of preterm neonates on Neonates' Physiological Assessment Tool during and immediately following the endotracheal suction procedure

Neonates' Physiological Assessment Tool was developed by researchers after a review of relevant literature to assess Physiological Parameters of preterm neonates as oxygen saturation in blood(SPO2)

Time frame: during procedural and immediately after procedure

Secondary Outcomes

change of baseline of Neonates' behavioral states on Anderson Behavioral State Scale during and immediately following the endotracheal suction procedure

This scale was adopted from Anderson et al.(1990) to assess the behavioral organization of preterm neonates. Neonates' behavioral states are assessed by observing their respiratory regularity, opening or closing of the eyes, limb and trunk activity, and the intensity of crying. Based on the observations, the scale will differentiate 12 behavioral states, including; regular quiet sleep (1), irregular quiet sleep (2), active sleep (3), very active sleep (4), drowsy (5), alert inactivity (6), quite awake (7), active awake (8), very active awake (9), fussing (10), crying (11) and hard crying (12). Scores from 1 to 5 indicate that the neonate is sleeping. Scores from 6 to 8 indicate that the neonate is awake and calm. Scores from 9 to 12 indicate that the neonate is in a state of restless activity or fussiness, which takes substantial energy

Data from ClinicalTrials.gov

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