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IRCT2016052311399N4 IRCT 2016-06-14 Vice chancellor for research, Semnan University of Medical Sciences The comparison of close and open tracheal tube suction on severity of pain and physiological indicators in patients under mechanical ventilation with traumatic brain injuries The comparison of close and open tracheal tube suction on severity of pain and physiological indicators in patients under mechanical ventilation with traumatic brain injuries 2016-06-21 anticipated 116 Complete https://irct.ir/trial/11674 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Crossover, Purpose: Supportive, Other design features: Patients will be divided into two groups by using sealed envelopes method. N/A Condition 1: Pain. Condition 2: physiological indicators. Condition 3: Traumatic brain injuries. Intervention 1: Intervention group (1): Patient will receive 100% oxygen for two minutes by ventilator. Then the patient is disconnected from ventilator and suction will be done by sterile method from ventilator and using a catheter number 14 and the pressure less than 120 mm Hg for 14 seconds and consequently the patient’s endotracheal tube is connected to ventilator again and he will be undergone 100% oxygen therapy by ventilator for two minutes. Intervention 2: Intervention group (2): Patient will not be disconnected from the ventilator. In these patients the suction catheter goes through the endotracheal tube through Y-piece connector between endotracheal tube and ventilator tube and suction will be done. In these patients suction will be done by catheter suction for 14 seconds with -120 mm Hg.The patient will be undergone 100% oxygen therapy by ventilator before and after suction.
public Hossein Davari
Kowsar Hospital, basij Blvd
Semnan Iran (Islamic Republic of) +98 23 3343 7825 hosseindavari30@yahoo.com Semnan University of Medical Sciences scientific Abbasali Ebrahimian
Room #120, 1th floor, School of Nursing and Allied Health Sciences, Semnan University of medical Sciences, Km5 Damghan Road
Semnan Iran (Islamic Republic of) +98 23 3365 4191 aa.ebrahimian@semums.ac.ir, ebrahimian.aa@gmail.com Semnan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: The Patient is placed under mechanical ventilation simply due to traumatic brain injuries or to subsequent secondary complications; The patient is in a coma and his GCS is less than 8; Endotracheal tube is used for patients in order to get airway; Endotracheal tube is merely through the mouth; They don’t take pain medications; Their livers and kidneys do not have trauma in the latest incident; They don’t take neuromuscular blockers; They need endotracheal tube secretion suctioning and patients don’t have severe face injuries. Exclusion criteria: The patient is brain-dead; They need to regain their suction before two hours; The existence of dangerous cardiac arrhythmias in monitoring patients; Any pain before suctioning; The use of painkillers or drugs on the stimulation of the patient’s upper airway secretions drainage and history of patients’ CPR after hospitalization. 35 years 75 years Both R52.9 R62.8 Intracrani Pain, unspecified Other lack of expected normal physiological development S06.9 Other Other Intervention group (1): Patient will receive 100% oxygen for two minutes by ventilator. Then the patient is disconnected from ventilator and suction will be done by sterile method from ventilator and using a catheter number 14 and the pressure less than 120 mm Hg for 14 seconds and consequently the patient’s endotracheal tube is connected to ventilator again and he will be undergone 100% oxygen therapy by ventilator for two minutes. Intervention group (2): Patient will not be disconnected from the ventilator. In these patients the suction catheter goes through the endotracheal tube through Y-piece connector between endotracheal tube and ventilator tube and suction will be done. In these patients suction will be done by catheter suction for 14 seconds with -120 mm Hg.The patient will be undergone 100% oxygen therapy by ventilator before and after suction. Pain. Timepoint: Before suctioning, during suctioning, 5 minutes after suctioning. Method of measurement: Critical-care pain objective tool. Physiological indicators. Timepoint: Before suctioning, during suctioning, 5 minutes after suctioning. Method of measurement: Monitoring devices, pulse oximetry, recorded ETCo2. Vice chancellor for research, Semnan University of Medical Sciences Approved 2016-05-25 Ethic committee of Semnan University Of Medical sience Vice chancellor for research, Semnan University of Medical Sciences, Basij Blvd Semnan Iran (Islamic Republic of)