Effects of Endotracheal Suctioning Procedure Steps Applied in Intensive Care on Suctioning Complications

İlkin Yılmaz; Dilek Özden; Gülşah Gürol Arslan

Article Details

Effects of Endotracheal Suctioning Procedure Steps Applied in Intensive Care on Suctioning Complications

Authors:

İlkin Yılmaz | Dilek Özden | Gülşah Gürol Arslan

Publisher:

Aydin Adnan Menderes University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 1, pp.101-114

Document Type:

Article

Publication Date:

1/2023

Document Language:

Turkish

Document ID (Org No.):

2001283631

pISSN:

2587-2427

Keywords:

Abstract:

 Objective: Suctioning procedures that are not carried out under guidelines lead to complications. The aim of the study is to determine suctioning procedure mistakes and complications related the procedure in an intensive care unit ICU where no standard suctioning guidelines were applied. Methods: The study was used an observational research design in a tertiary ICU. The procedure steps of nurses during suctioning were observed; blood pressure, heart rate, respiratory rate, peripheral oxygen saturation, tidal volume values, development of arrhythmia and hemorrhagic secretion were monitored in patients just before and at the first and the fifth minutes after suctioning. Results: A total of 210 suctioning procedures performed by 35 nurses on 45 patients were observed. Nurses frequent mistakes were applying suction pressure above 150 mmHg 99.5 for more than 10 seconds 63.3, not applying hyperoxygenation before and after suctioning 98.1, 96.2, applying deep suctioning 97.6, applying total suctioning procedure for more than 15 seconds 72.9. Applying suctioning pressure for more than 10 seconds increased the risk of tachycardia by 3.074 times, hemorrhagic secretion risk by 2.790 times, tachypnea risk by 2.024 times, and desaturation risk by 5.496 times in the first minute. Applying suctioning pressure for more than 15 seconds increased the risk of diastolic hypotension by 15.108 times, the arrhythmia by 2.630 times in the first minute; tachycardia by 3.725 times, tachypnea by 2.750 times in the fifth minute. Conclusion: Many incorrect procedures applied by nurses, which did not comply with the suctioning standards, led to significant physiological changes in patients.

 Objective: Suctioning procedures that are not carried out under guidelines lead to complications. The aim of the study is to determine suctioning procedure mistakes and complications related the procedure in an intensive care unit ICU where no standard suctioning guidelines were applied. Methods: The study was used an observational research design in a tertiary ICU. The procedure steps of nurses during suctioning were observed; blood pressure, heart rate, respiratory rate, peripheral oxygen saturation, tidal volume values, development of arrhythmia and hemorrhagic secretion were monitored in patients just before and at the first and the fifth minutes after suctioning. Results: A total of 210 suctioning procedures performed by 35 nurses on 45 patients were observed. Nurses frequent mistakes were applying suction pressure above 150 mmHg 99.5 for more than 10 seconds 63.3, not applying hyperoxygenation before and after suctioning 98.1, 96.2, applying deep suctioning 97.6, applying total suctioning procedure for more than 15 seconds 72.9. Applying suctioning pressure for more than 10 seconds increased the risk of tachycardia by 3.074 times, hemorrhagic secretion risk by 2.790 times, tachypnea risk by 2.024 times, and desaturation risk by 5.496 times in the first minute. Applying suctioning pressure for more than 15 seconds increased the risk of diastolic hypotension by 15.108 times, the arrhythmia by 2.630 times in the first minute; tachycardia by 3.725 times, tachypnea by 2.750 times in the fifth minute. Conclusion: Many incorrect procedures applied by nurses, which did not comply with the suctioning standards, led to significant physiological changes in patients.

 Objective: Suctioning procedures that are not carried out under guidelines lead to complications. The aim of the study is to determine suctioning procedure mistakes and complications related the procedure in an intensive care unit ICU where no standard suctioning guidelines were applied. Methods: The study was used an observational research design in a tertiary ICU. The procedure steps of nurses during suctioning were observed; blood pressure, heart rate, respiratory rate, peripheral oxygen saturation, tidal volume values, development of arrhythmia and hemorrhagic secretion were monitored in patients just before and at the first and the fifth minutes after suctioning. Results: A total of 210 suctioning procedures performed by 35 nurses on 45 patients were observed. Nurses frequent mistakes were applying suction pressure above 150 mmHg 99.5 for more than 10 seconds 63.3, not applying hyperoxygenation before and after suctioning 98.1, 96.2, applying deep suctioning 97.6, applying total suctioning procedure for more than 15 seconds 72.9. Applying suctioning pressure for more than 10 seconds increased the risk of tachycardia by 3.074 times, hemorrhagic secretion risk by 2.790 times, tachypnea risk by 2.024 times, and desaturation risk by 5.496 times in the first minute. Applying suctioning pressure for more than 15 seconds increased the risk of diastolic hypotension by 15.108 times, the arrhythmia by 2.630 times in the first minute; tachycardia by 3.725 times, tachypnea by 2.750 times in the fifth minute. Conclusion: Many incorrect procedures applied by nurses, which did not comply with the suctioning standards, led to significant physiological changes in patients.

 Amaç: Rehber önerileri doğrultusunda yapılmayan aspirasyon işlemleri komplikasyonlara yol açmaktadır. Çalışmanın amacı, aspirasyon standardı uygulanmayan bir yoğun bakım ünitesinde aspirasyon işlem basamaklarında sıklıkla yapılan hataları belirlemek ve aspirasyon komplikasyonlarını incelemektir. Yöntem: Çalışma üçüncü basamak bir yoğun bakım ünitesinde gözlemsel desende yürütülmüştür. Hemşirelerin aspirasyon sırasındaki işlem basamakları gözlenmiş; hastaların aspirasyondan hemen önce ve sonrasındaki birinci ve beşinci dakikalarda kan basıncı, kalp atım hızı, solunum sayısı, periferal oksijen satürasyonu, tidal volüm değerleri, aritmi, hemorajik sekresyon gelişimi takip edilmiştir. Bulgular: Toplam 35 hemşirenin 45 hastada uyguladığı 210 aspirasyon işlemi izlenmiştir. Hemşirelerin en sık yaptığı uygulama hataları 150 mmHg üstü aspiratör basıncını 99.5 10 snden fazla uygulama 63.3, aspirasyon öncesi ve sonrası hiperoksijenasyon uygulamama 98.1, 96.2, derin aspirasyon uygulama 97.6, aspirasyonun toplam süresinin 15 snden fazla sürmesi 72.9 olarak belirlenmiştir. On saniyeden fazla aspiratör basıncı uygulamak birinci dakikada taşikardi görülme riskini 3.074, hemorajik sekresyon riskini 2.790, takipne riskini 2.024, desatürasyon riskini 5.496 kat arttırmıştır. Toplam aspirasyon süresini 15 snden fazla uygulamak birinci dakikada diyastolik hipotansiyon riskini 15.108, aritmi riskini 2.630, beşinci dakikada taşikardi görülme riskini 3.725, takipne riskini 2.750 kat arttırmıştır. Sonuç: Bu çalışmanın sonuçları, hemşirelerin aspirasyon standardına uygun olmayan birçok hatalı işlem yaptığını, hatalı yapılan her işlemin hastalarda önemli fizyolojik değişimlere yol açtığını göstermektedir.

Article Details

Effects of Endotracheal Suctioning Procedure Steps Applied in Intensive Care on Suctioning Complications

Authors:

İlkin Yılmaz | Dilek Özden | Gülşah Gürol Arslan

Publisher:

Aydin Adnan Menderes University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 1, pp.101-114

Document Type:

Article

Publication Date:

1/2023

Document Language:

Turkish

Document ID (Org No.):

2001283631

pISSN:

2587-2427

Endotracheal suctioning

Procedure steps

Complications

Nursing

Intensive care

Endotrakeal aspirasyon

İşlem basamakları

Komplikasyon

Hemşirelik

Yoğun bakım

Endotracheal suctioning

Procedure steps

Complications

Nursing

Intensive care.

Intensive care

Issues

Article Details

Authors: İlkin Yılmaz | Dilek Özden | Gülşah Gürol Arslan

Publisher: Aydin Adnan Menderes University

Main Topics: Sağlık Kurumları Yönetimi

Journal: Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 1, pp.101-114

Document Type: Article

Publication Date: 1/2023

Document Language: Turkish

Document ID (Org No.): 2001283631

pISSN: 2587-2427

Issues

Authors:

İlkin Yılmaz | Dilek Özden | Gülşah Gürol Arslan

Publisher:

Aydin Adnan Menderes University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 1, pp.101-114

Document Type:

Article

Publication Date:

1/2023

Document Language:

Turkish

Document ID (Org No.):

2001283631

pISSN:

2587-2427