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An Association Between Pain and American Association of Respiratory Care 2010 Guidelines During Tracheal Suctioning.
- Source :
-
Dimensions of critical care nursing : DCCN [Dimens Crit Care Nurs] 2016 Sep-Oct; Vol. 35 (5), pp. 283-90. - Publication Year :
- 2016
-
Abstract
- Introduction: Tracheal suctioning is recalled by mechanically ventilated patients as the most painful procedure during their stay in the intensive care unit.<br />Aim: The aim of this study was to evaluate whether the implementation of American Association of Respiratory Care suction guidelines positively affects the levels of patients' pain.<br />Materials and Methods: This is a prospective observational study on adult patients admitted to 2 general intensive care units. Pain levels in sedated mechanically ventilated patients were recorded before, during, and after tracheal suctioning, using the Critical Care Pain Observation Tool (CPOT).<br />Results: Forty-seven patients were enrolled, with a mean age of 61.72 (±18.46) years. Median CPOT value was 0 (quartile 1 [Q1] [25%], 0; quartile 3 [Q3] [75%], 0; min, 0; max, 2) during the procedure. The Critical Care Pain Observation Tool reached a median value of 3, while 5 minutes after suctioning. Postprocedural CPOT median score was 0 (Q1 [25%], 0; Q3 [75%], 0; min, 0; max, 2). The median number of passes during suctioning was 1 (Q1, 1; Q3, 2). The sizes of suction catheters used in the recorded procedures were as follows: 12F in 27 cases (57%), 14F in 18 cases (38%), and 10F in 2 cases (5%). The median size of the endotracheal tube was 7.5 mm (Q1, 7.5; Q3, 8). The correct ratio between endotracheal tube diameter and suction catheter was used in 24 procedures (51%).<br />Conclusions: Despite the low number of patients, this study showed that the implementation of the American Association of Respiratory Care 2010 endotracheal suctioning guidelines into practice helps to reduce procedural-induced pain. Therefore, training and continuing education are important for clinical staff performing tracheal suctioning.
Details
- Language :
- English
- ISSN :
- 1538-8646
- Volume :
- 35
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Dimensions of critical care nursing : DCCN
- Publication Type :
- Academic Journal
- Accession number :
- 27487754
- Full Text :
- https://doi.org/10.1097/DCC.0000000000000200