» Articles » PMID: 34037323

Effect of Open Versus Closed Endotracheal Suctioning on Intracranial Pressure in Severe Brain-injured Children: Study Protocol for a Randomized Controlled Trial

Overview
Journal Nurs Open
Specialty Nursing
Date 2021 May 26
PMID 34037323
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Aim: To compare the effects and safety of open and closed endotracheal suction in children with severe brain injury.

Design: A single-blinding, single-centre randomized controlled trial (RCT).

Methods: The children with severe brain injury admitted to the intensive care unit (ICU) from 1 September 2020-31 August 2022 will be included. And a total of 172 children with severe brain injury are expected to be included. The intracranial pressure, SpO and heart rate before suctioning, at the end of suction, and at 5 and 10 min after suction, the estimated sputum volume for each suction, the incidence of ventilator-associated pneumonia, the duration of mechanical ventilation and the length of ICU stay will be analysed.

Results: This present RCT has been prospectively registered in China Clinical Trial Registry (http://www.chictr.org.cn, ChiCTR2000030963). This present study is expected to provide reliable evidence to the airway management in children with severe brain injury.

Citing Articles

Risk factors and nomogram for the prediction of intracranial hemorrhage in very preterm infants.

Wang Y, Yang Y, Wen L, Li M BMC Pediatr. 2024; 24(1):793.

PMID: 39633312 PMC: 11616105. DOI: 10.1186/s12887-024-05274-0.


Intensive Care Nurses' Performance of Open versus Closed Endotracheal Suction on Critically Ill Patients in Ismailia City.

Elmansy F, Elbqry M, Aly A, Negm A, Hafez A, Elgazzar S Iran J Nurs Midwifery Res. 2024; 29(5):590-595.

PMID: 39478708 PMC: 11521131. DOI: 10.4103/ijnmr.ijnmr_351_22.


Optimization of lung ultrasound in ultrafast-track anesthesia for non-cyanotic congenital heart disease surgery.

Xie Y, Ma L, Lin H, Yang C, Wang X, Peng T Heliyon. 2024; 10(1):e23544.

PMID: 38169938 PMC: 10758866. DOI: 10.1016/j.heliyon.2023.e23544.


Effect of open versus closed endotracheal suctioning on intracranial pressure in severe brain-injured children: Study protocol for a randomized controlled trial.

Li Y, Li X, Wen Z, Zhang X, Liu Y, Wei L Nurs Open. 2021; 8(5):2886-2891.

PMID: 34037323 PMC: 8363411. DOI: 10.1002/nop2.656.

References
1.
Shamali M, Abbasinia M, Ostergaard B, Konradsen H . Effect of minimally invasive endotracheal tube suctioning on physiological indices in adult intubated patients: An open-labelled randomised controlled trial. Aust Crit Care. 2018; 32(3):199-204. DOI: 10.1016/j.aucc.2018.03.007. View

2.
Faraji A, Khatony A, Moradi G, Abdi A, Rezaei M . Open and Closed Endotracheal Suctioning and Arterial Blood Gas Values: A Single-Blind Crossover Randomized Clinical Trial. Crit Care Res Pract. 2015; 2015:470842. PMC: 4573878. DOI: 10.1155/2015/470842. View

3.
Argent A . Endotracheal Lidocaine Installation, Endotracheal Suction, and Intracranial Pressure in Patients With Traumatic Brain Injury-Assessing the Impact. Pediatr Crit Care Med. 2019; 20(4):387-388. DOI: 10.1097/PCC.0000000000001848. View

4.
Kuriyama A, Umakoshi N, Fujinaga J, Takada T . Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis. Intensive Care Med. 2014; 41(3):402-11. DOI: 10.1007/s00134-014-3565-4. View

5.
Brocklehurst P, Hoare Z . How to design a randomised controlled trial. Br Dent J. 2017; 222(9):721-726. DOI: 10.1038/sj.bdj.2017.411. View