Journal of Korean Academy of Nursing

Original Articles

Effects of a Closed Endotracheal Suction System on Oxygen Saturation, Ventilator-Associated Pneumonia, and Nursing Efficacy: Eun Sook Lee, Sung Hyo Kim, Jung Sook Kim; Journal of Korean Academy of Nursing 2004;34(7):1315-1325. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.7.1315

Purpose

The purpose of this study was to examine the effects of a closed endotracheal suction system(CES) on oxygen saturation, ventilator associated pneumonia(VAP), and nursing efficacy in mechanically ventilated patients.

Method

This study was conducted in the intensive care unit of a University Hospital in Gwangju City. Data was collected from July to October, 2003. Seventy mechanically ventilated patients were randomly divided into two groups; 32 for CES and 38 for open endotracheal suction system(OES) protocol. Twenty one nurses were also involved to examine the nurses' attitude of usefulness about CES.

Result

SaO₂ was significantly different between CES and OES. The incidence of VAP in CES was lower than that of OES. Nursing efficacy was related to time, cost, and usefulness of the suction system. Time of suctioning in CES was shorter than that of OES. CES also contributed significantly to lower the cost of treatment than OES. The usefulness score of CES increased after 6 months of use.

Conclusion

CES prevented VAP, was cost effective, and a safe suctioning system. CES ncan be used with patients with sensitivity to hypoxygenation and with a high risk of VAP.

Citations

Citations to this article as recorded by

EFFECTIVENESS OF A PLANNED TEACHING PROGRAMME ON KNOWLEDGE REGARDING VENTILATOR ASSOCIATED PNEUMONIA AMONG STAFF NURSES WORKING IN A TERTIARY CARE HOSPITAL IN SRINAGAR
Nusrat Jan, Rajinderjit Kaur Bajwa
INTERNATIONAL JOURNAL OF RESEARCH IN MEDICAL SCIENCES & TECHNOLOGY.2021; 12: 207. CrossRef
A Closed-Suction Catheter with a Pressure Valve Can Reduce Tracheal Mucosal Injury in Intubated Patients
Jin-Heon Jeong, Sung-Jin Nam, Young-Jae Cho, Yeon Joo Lee, Se Joong Kim, In-Ae Song, Sang-Heon Park, Young-Tae Jeon
Korean Journal of Critical Care Medicine.2014; 29(1): 7. CrossRef
Effects of Open or Closed Suctioning on Lung Dynamics and Hypoxemia in Mechanically Ventilated Patients
Eun Young Lee, Su Hyun Kim
Journal of Korean Academy of Nursing.2014; 44(2): 149. CrossRef
Comparison of the Pattern in Semi-Quantitative Sputum Cultures Based on Different Endotracheal Suction Techniques
Jiwoong Oh, Kum Whang, Hyenho Jung, Jongtaek Park
Korean Journal of Critical Care Medicine.2012; 27(2): 70. CrossRef
Endotracheal Colonization and Ventilator-associated Pneumonia in Mechanically Ventilated Patients according to Type of Endotracheal Suction System
Kyeong-Sook Cha, Ho-Ran Park
Journal of Korean Academy of Nursing.2011; 41(2): 175. CrossRef

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Effects on Changes in Femoral Vein Blood Flow Velocity with the Use of Lower Extremity Compression for Critical Patients with Brain injury: Jung Sook Kim, Hye Jung Kim, Yun Hee Woo, Ji Young Lym, Chul Hyung Lee; J Korean Acad Nurs 2009;39(2):288-297. Published online April 28, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.2.288

Abstract PDF

Purpose

This study was done to evaluate the mean venous velocity (MVV) response with knee and thigh length compression stockings (CS) versus intermittent pneumatic compression (IPC) devices in immobile patients with brain injuries.

Methods

We carried out a randomized controlled study. We analyzed both legs of a randomly chosen sample of 43 patients assigned to one of 4 groups (86 legs). The patients were sequentially hospitalized in the intensive care unit (ICU) in "S hospital" from November 2005 to December 2006. The base line and augmented venous velocity was measured at the level of the common femoral vein. We applied leg compression 42 times over 7 days (for 2 hours at a time at 2 hour intervals).

Results

There was a statistical difference among the 4 groups. The difference for the "IPC" group was more significant than the "CS" group.

Conclusion

These results indicate that the application of IPC can be considered as an effective method to prevent deep vein thrombosis for immobile patients with brain injury.

Citations

Citations to this article as recorded by

Characteristics and Effects of Intermittent Pneumatic Compression Devices Interventions to Prevent Venous Thromboembolism in Critical Care Patients: A Systematic Review of Randomized Controlled Trials
Seang Ryu, Nam Young Kim, Yun-Hee Kim
Korean Journal of Adult Nursing.2024; 36(1): 28. CrossRef
Effect of Elastic Compression Stocking and Kinesio Taping during Heel-raise Exercise on Muscle Activity, Mechanical Properties, and Muscle Fatigue in Healthy Women
SeongHo Yun, Yun Jung Kang, Ji Hyun Kim, Hyeon Hui Do, Seo Young Shin, Su Bin Lee, Jung Won Kwon
The Journal of Korean Physical Therapy.2023; 35(1): 24. CrossRef
Effect of Wearing a Compression Stocking on Electromyogram of the Legs
Ji-Youn Lee, So-Hee Yuk, Hyo-Gyung Yoo, Nam-Ju Hong, In-Cheol Jeon, Dongju Jung
The Korean Journal of Clinical Laboratory Science.2019; 51(2): 185. CrossRef
Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism
Nam Yong Kim, Eun A Kim, Jae Yeun Sim, Soon Hee Jung, Hye Young Kim, Eun Hee Jang, Jee Hye Shin
Journal of Korean Academy of Nursing Administration.2017; 23(1): 63. CrossRef
A study on the Prevention of Deep Vein Thrombosis and Skin Response of Patients after Intracranial Surgery : By Boots and Calf Intermittent Pneumatic Compression Device
Moo-Yong Cho, Boon-Han Kim, Ki-Sook Kim
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 203. CrossRef
Risk Factors Associated with Venous Thromboembolism in Cancer Patients
Su Jung Lee, Nam Cho Kim
Asian Oncology Nursing.2015; 15(3): 171. CrossRef
Graduated compression stockings for prevention of deep vein thrombosis
Ashwin Sachdeva, Mark Dalton, Sachiendra V Amaragiri, Timothy Lees
Cochrane Database of Systematic Reviews.2014;[Epub] CrossRef
Risk Factors and Features of Critically Ill Patients with Deep Vein Thrombosis in Lower Extremities
Hwasoon Kim, Ok Min Cho, Hyo Im Cho, Ju Yeun Kim
Journal of Korean Academy of Nursing.2012; 42(3): 396. CrossRef
Discomfort on Wearing Thigh-Length Compression Stockings in Orthopedic Surgical Patients
Yun-Hwa Jung, Hye-Sook Min
Journal of muscle and joint health.2012; 19(2): 184. CrossRef

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