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研究方案:通过一项随机对照试验,评估给心脏外科手术患者供氧小于等于12小时时,其气管内吸引的避免情况。
Author(s) -
Gilder Eileen,
Parke Rachael L.,
McGuinness Shay,
Jull Andrew
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13994
Subject(s) - medicine , suction , randomized controlled trial , anesthesia , airway , randomization , intensive care medicine , intensive care , surgery , mechanical engineering , engineering
Aims To assess the safety and efficacy of avoiding endotracheal suction in postoperative cardiac surgical patients mechanically ventilated for ≤ 12 hr. Design A prospective, single centre, single blind, non‐inferiority, randomized controlled trial evaluating the safety and efficacy of avoiding suction in uncomplicated, postoperative, adult cardiac surgical patients mechanically ventilated for ≤ 12 hr. Methods Randomization will be performed on return to intensive care ( ICU ) with allocation to either usual postoperative care including suction or to usual care with no suction (intervention arm). The primary outcome is the ratio of partial pressure of oxygen (PaO 2 ) to fraction of inspired oxygen (FiO 2 ) (P/F) 6 hr after extubation. Pain assessments will be performed before, during and after endotracheal suction ( ETS ) and the patient experience will be investigated with a brief interview the following day. Ethics approval was received in October 2015. Discussion Endotracheal suction is performed as part of airway management but has potential complications and there is little robust evidence to guide practice. This study will add to the evidence base about the need and benefit of endotracheal suction in this patient cohort. Impact As there is currently no published evidence about the safety of avoiding endotracheal suction. This study will provide the first evidence about avoidance of endotracheal suction in patients ventilated for less than 1 day. If non‐inferior, the results have the capacity to change nursing practice by avoiding a potentially unnecessary procedure, it will build on the body of knowledge about the patient experience.