A Prospective, Longitudinal Study Evaluating the Efficacy of an Automated Secretion Removal Technology.
BACKGROUND: Endotracheal suctioning causes discomfort, is associated with adverse effects, and is resource-demanding. An artificial secretion removal method, known as an automated cough, has been developed, which applies rapid, automated deflation, and inflation of the endotracheal tube cuff during...
| Publicado en: | Respiratory Care Vol. 69; no. 8; pp. 931 - 937 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178493925&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178493925 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Aug2024 vid: 69 iid: 8 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 178493925 178493925 178493925 10.4187/respcare.11584 178493925 ppf: 931 ppct: 6 formats: fmt: @attributes: type: P tig: atl: A Prospective, Longitudinal Study Evaluating the Efficacy of an Automated Secretion Removal Technology. aug: au: Sinnige, Jante S. Karbing, Dan S. Valk, Christel M. A. Schultz, Marcus J. Rees, Stephen E. Paulus, Frederique affil: Department of Intensive Care, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands sug: subj: Suctioning, Endotracheal Methods Automation Technology, Medical Secretions Treatment Outcomes Human Male Female Adult Middle Age Aged Prospective Studies Ventilation Respiration, Artificial Equipment and Supplies Adverse Health Care Event Descriptive Statistics Inspiration, Respiratory Evaluation Suctioning, Endotracheal Confidence Intervals Mann-Whitney U Test T-Tests Wilcoxon Rank Sum Test Data Analysis Software Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: BACKGROUND: Endotracheal suctioning causes discomfort, is associated with adverse effects, and is resource-demanding. An artificial secretion removal method, known as an automated cough, has been developed, which applies rapid, automated deflation, and inflation of the endotracheal tube cuff during the inspiratory phase of mechanical ventilation. This method has been evaluated in the hands of researchers but not when used by attending nurses. The aim of this study was to explore the efficacy of the method over the course of patient management as part of routine care. METHODS: This prospective, longitudinal, interventional study recruited 28 subjects who were intubated and mechanically ventilated. For a maximum of 7 d and on clinical need for endotracheal suctioning, the automatic cough procedure was applied. The subjects were placed in a pressure-regulated ventilation mode with elevated inspiratory pressure, and automated cuff deflation and inflation were performed 3 times, with this repeated if deemed necessary. Success was determined by resolution of the clinical need for suctioning as determined by the attending nurse. Adverse effects were recorded. RESULTS: A total of 84 procedures were performed. In 54% of the subjects, the artificial cough procedure was successful on > 70% of occasions, with 56% of all procedures considered successful. Ninety percent of all the procedures were performed in subjects who were spontaneously breathing and on pressure-support ventilation with peak inspiratory pressures of 20 cm H2O. Rates of adverse events were similar to those seen in the application of endotracheal suctioning. CONCLUSIONS: This study solely evaluated the efficacy of an automated artificial cough procedure, which illustrated the potential for reducing the need for endotracheal suctioning when applied by attending nurses in routine care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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