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IRCT20191014045110N1 IRCT 2019-10-28 Gonabad University of Medical Sciences the effect of two methods endotracheal suction systems on the results of the smear and bacterial culture in patients under mechanical ventilation Comparison the effect of open and closed endotracheal suction systems on the results of the smear and bacterial culture in patients under mechanical ventilation in intensive care unit 2019-04-04 anticipated 56 Complete https://irct.ir/trial/43037 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Purpose-based sampling was performed among all patients admitted to the intensive care unit of Valiasr Hospital in Birjand, and if the inclusion criteria were met. In the second stage, patients were randomly assigned to either open or closed suction group. Patients whose right file number was even were assigned to the open suction group and patients with right file number was odd were assigned to the closed suction group, Blinding description: Samples of endotracheal secretion culture sent to the laboratory were examined by a researcher who was one of experienced laboratory personnel and blind to division of study groups into open and closed suction groups. In addition, data analysis and outcome evaluation done by someone other than the main researchers of the study. N/A Patients under mechanical ventilation in intensive care unit. Intervention 1: Intervention group: In the closed suction system, without weaning from the ventilator and after the patient was hyperoxygenated with 100% oxygen by the ventilator and through the catheter that is placed between the endotracheal tube and ventilator Y-like device, suctioning was done.This procedure was done in various shifts by nurses who had received theoretical and practical training in the principles of suctioning. Intervention 2: Control group: For suctioning in the open system group, after hyperoxygenated the patient with 100% oxygen for 1 minute by the ventilator and aseptic conditions (sterile gloves and sterile suction catheter) and removing the patient from the ventilator, suctioning was done. The suction catheter in this procedure was replaced after each use. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Fatemeh Rezaee
Gonabad University of Medical Sciences.,Near Asian Road., Gonabad City
Gonabad Iran (Islamic Republic of) 9691793718 +98 51 5722 3028 Frezaee2000@gmail.com Gonabad University of Medical Sciences scientific Moosa Sajjadi
Gonabad University of Medical Sciences., Near Asian Road., Gonabad City
Gonabad Iran (Islamic Republic of) 9691793718 +98 51 5722 3028 sajjadi1975@gmail.com Gonabad University of Medical Sciences Iran (Islamic Republic of) Have at least three days stay in the ICU. Under mechanical ventilation (intubation or tracheostomy). Patient's primary endotracheal culture should be negative. Not more than 6 hours after the patient's intubation. Accept ICU admission less than 24 hours after hospital admission. Not have acute or chronic respiratory infections and sepsis. 20 years 80 years Both Patient death Cardiopulmonary resuscitation Extubation earlier than expected Use of immunosuppressive drugs and start of antibiotic use during the study period Prevention Treatment - Devices Intervention group: In the closed suction system, without weaning from the ventilator and after the patient was hyperoxygenated with 100% oxygen by the ventilator and through the catheter that is placed between the endotracheal tube and ventilator Y-like device, suctioning was done.This procedure was done in various shifts by nurses who had received theoretical and practical training in the principles of suctioning. Control group: For suctioning in the open system group, after hyperoxygenated the patient with 100% oxygen for 1 minute by the ventilator and aseptic conditions (sterile gloves and sterile suction catheter) and removing the patient from the ventilator, suctioning was done. The suction catheter in this procedure was replaced after each use. The results of the smear and bacterial culture in patients under mechanical ventilation. Timepoint: Before and 72 hours after intervention. Method of measurement: Microscope. Gonabad University of Medical Sciences Approved 2019-01-29 Regional Ethics Committee of Gonabad University of Medical Sciences Gonabad university of Medical Sciences, Near Asian Road., Gonabad Town Gonabad Razavi Khorasan Iran (Islamic Republic of)