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

May 26, 2022 updated by: Ilkin Yilmaz, Dokuz Eylul University

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

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.

Study Overview

Status

Completed

Intervention / Treatment

Detailed Description

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.

Study Type

Interventional

Enrollment (Actual)

100

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • İzmir, Turkey
        • Dokuz Eylul University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

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

Exclusion Criteria:

  • hemodynamically unstabilized patients

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: HEALTH_SERVICES_RESEARCH
  • Allocation: RANDOMIZED
  • Interventional Model: CROSSOVER
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: closed suctioning system
Closed suctioning system will be compared with open 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.
NO_INTERVENTION: open suctioning system
The patient will be monitored with closed system for one day and open aspiration system on the other day.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
frequency of suctioning
Time Frame: 12 hours of a day
frequency of suctioning in a half of a day
12 hours of a day
amount of secretion
Time Frame: 12 hours of a day
amount of secretion in a half of a day
12 hours of a day

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
spo2
Time Frame: 12 hours of a day
differences in spo2 between open and closed suctioning systems
12 hours of a day
tidal volume
Time Frame: 12 hours of a day
differences in tidal volume between open and closed suctioning systems
12 hours of a day

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Dilek Ozden, PhD, Dokuz Eylül University Faculty of Nursing
  • Principal Investigator: Ilkin Yilmaz, PhD, Dokuz Eylül University Faculty of Nursing

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ACTUAL)

August 1, 2019

Primary Completion (ACTUAL)

December 15, 2019

Study Completion (ACTUAL)

December 20, 2019

Study Registration Dates

First Submitted

August 9, 2019

First Submitted That Met QC Criteria

August 9, 2019

First Posted (ACTUAL)

August 12, 2019

Study Record Updates

Last Update Posted (ACTUAL)

May 27, 2022

Last Update Submitted That Met QC Criteria

May 26, 2022

Last Verified

May 1, 2022

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

There is no plan to share the patients data with other researchers.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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