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IRCT2015092624213N1 IRCT 2016-01-22 Vice chancellor for research, Babol University of Medical Sciences Endotracheal suctioning and hemodynamic status SICU: Surgical Intensive Care Unit Comparison the effect of open and close endotracheal suctioning on hemodynamic status of patient with head trauma hospitalized in intensive care unit 2015-08-23 anticipated 88 Complete https://irct.ir/trial/20499 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A head trauma. Intervention 1: After getting oxygenated with 100% O2 for one minute, the patients are suctioned with closed suction method for 15 seconds. The catheter will be inserted into the endotracheal tube and then will be withdrawn back for 0.5 cm. A negative pressure of maximum 20 KPa will be set, and catheter will be withdrawn. They will also receive 100% oxygen for one minute after suctioning. Intervention 2: After getting oxygenated with 100% O2 for one minute, the patients are suctioned with closed suction method for 15 seconds. The catheter will be inserted into the endotracheal tube and then will be withdrawn 0.5 cm. A negative pressure of maximum 20 KPa will be set, and catheter will be withdrawn. They will also receive 100% oxygen for one minute after suctioning.
public Asieh Shabani Faramarzi
Number 39, Zoolfaghar Alley, Keshvari Square, Babol, Mazandaran, Iran
Babol Iran (Islamic Republic of) 4716758393 +98 11 3225 5939 asiehshabanifaramarzi@gmail.com Ardabil University of medical science scientific Behrooz Dadkhah
Nursing and Midwifery faculty, Saedi street, Ardabil, Iran
Ardabil Iran (Islamic Republic of) +98 45 3351 2877 b.dadkhah@arums.ac.ir Ardabil University of medical science Iran (Islamic Republic of) Inclusion criteria; 1. Patients without lung problems 2. Age more than 12 years old 3. Head trauma 4. Level of consciousness between 4-8 5. Patients with Endotracheal tube 6. Hemodynamic stability 7. lack of dysrhythmia Exclusion criteria: 1. Patients require frequent suctioning 2. Any serious adverse effects during study(increasing of intracranial pressure, Severe impairment in hemodynamic status) no limit no limit Both S00-S09 Fracture of skull with associated intracranial injury, Fracture of vault of skull, Fracture of base of skull, Multiple superficial injuries of head Prevention Prevention After getting oxygenated with 100% O2 for one minute, the patients are suctioned with closed suction method for 15 seconds. The catheter will be inserted into the endotracheal tube and then will be withdrawn back for 0.5 cm. A negative pressure of maximum 20 KPa will be set, and catheter will be withdrawn. They will also receive 100% oxygen for one minute after suctioning. After getting oxygenated with 100% O2 for one minute, the patients are suctioned with closed suction method for 15 seconds. The catheter will be inserted into the endotracheal tube and then will be withdrawn 0.5 cm. A negative pressure of maximum 20 KPa will be set, and catheter will be withdrawn. They will also receive 100% oxygen for one minute after suctioning. Respiratory rate. Timepoint: Before and immediately after suctioning and then every five minutes up to fifteen minutes. Method of measurement: Observation and records. Heart rate. Timepoint: Before, during and immediately after suctioning and then every five minutes up to fifteen minutes. Method of measurement: Observation and records. Mean Arterial Pressure. Timepoint: Before, during and immediately after suctioning and then every five minutes up to fifteen minutes. Method of measurement: Observation and records. Arterial Blood Oxygen Saturation. Timepoint: Before, during and immediately after suctioning and then every five minutes up to fifteen minutes. Method of measurement: Observation and records. Cardiac dysrhythmia. Timepoint: During and Immediately after suctioning and then every five minutes up to fifteen minutes. Method of measurement: Observation and records. Central Vein Pressure. Timepoint: Before and immediately after suctioning and then every five minutes up to fifteen minutes. Method of measurement: Observation and records. Positive End Expiratory Pressure. Timepoint: Before, during and Immediately after intervention, Five, Ten, Fifteen minutes after open and close suction. Method of measurement: Observation and records. Added at 2016-02-25: number of suctioning. Timepoint: Added at 2016-02-25: Before, during and immediately after suctioning and then every five minutes up to fifteen minutes. Method of measurement: Added at 2016-02-25: observation and records. Vice chancellor for research, Babol University of Medical Sciences Approved 2015-08-08 Ethic committee of Ardabil University of Medical Science Ethic committee unit, Vice chancellor for research, Ardabil University of Medical Science, Kosar town, Ardabil, Iran Ardabil Iran (Islamic Republic of)