Patient recollection of airway suctioning in the ICU: routine versus a minimally invasive procedure

Johannes P. van de Leur, Jan Harm Zwaveling, Bert G Loef, Cees van der Schans

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: Many patients have an unpleasant recollection of routine endotracheal suctioning after discharge from the Intensive Care Unit (ICU). We hypothesized that through minimally invasive airway suctioning discomfort and stress may be prevented, resulting in less recollection.

DESIGN: A prospective randomized clinical trial.

SETTING: Two ICUs at the University Hospital of Groningen, the Netherlands.

PATIENTS AND PARTICIPANTS: Adult patients with an intubation period exceeding 24 h were included.

INTERVENTIONS: Patients received either routine endotracheal suctioning (RES) or minimally invasive airway suctioning (MIAS) during the duration of intubation.

MEASUREMENTS AND RESULTS: Within 3 days after ICU discharge all patients were interviewed, regarding recollection and discomfort of suctioning. The level of discomfort was quantified on a visual analogue scale (VAS). We analyzed data from 208 patients (RES: n=113, and MIAS: n=95). A significantly lower prevalence of recollection of airway suctioning was found in the MIAS group (20%) compared to the RES group (41%) (P-value =0.001). No significant difference in level of discomfort was found between the RES and the MIAS group (P-value =0.136).

CONCLUSIONS: Minimally invasive airway suctioning results in a lower prevalence of recollection of airway suction than in RES, but not in discomfort.

Original languageEnglish
Pages (from-to)433-436
JournalIntensive care medicine
Volume29
Issue number3
DOIs
Publication statusPublished - Mar 2003
Externally publishedYes

Keywords

  • critical care
  • pain measurement
  • prospective studies
  • statistics, nonparametric
  • suction
  • clinical trial

Cite this

van de Leur, Johannes P. ; Zwaveling, Jan Harm ; Loef, Bert G ; van der Schans, Cees. / Patient recollection of airway suctioning in the ICU : routine versus a minimally invasive procedure. In: Intensive care medicine. 2003 ; Vol. 29, No. 3. pp. 433-436.
@article{086fd6f0a54c4e9598150b7181e4b833,
title = "Patient recollection of airway suctioning in the ICU: routine versus a minimally invasive procedure",
abstract = "OBJECTIVE: Many patients have an unpleasant recollection of routine endotracheal suctioning after discharge from the Intensive Care Unit (ICU). We hypothesized that through minimally invasive airway suctioning discomfort and stress may be prevented, resulting in less recollection.DESIGN: A prospective randomized clinical trial.SETTING: Two ICUs at the University Hospital of Groningen, the Netherlands.PATIENTS AND PARTICIPANTS: Adult patients with an intubation period exceeding 24 h were included.INTERVENTIONS: Patients received either routine endotracheal suctioning (RES) or minimally invasive airway suctioning (MIAS) during the duration of intubation.MEASUREMENTS AND RESULTS: Within 3 days after ICU discharge all patients were interviewed, regarding recollection and discomfort of suctioning. The level of discomfort was quantified on a visual analogue scale (VAS). We analyzed data from 208 patients (RES: n=113, and MIAS: n=95). A significantly lower prevalence of recollection of airway suctioning was found in the MIAS group (20{\%}) compared to the RES group (41{\%}) (P-value =0.001). No significant difference in level of discomfort was found between the RES and the MIAS group (P-value =0.136).CONCLUSIONS: Minimally invasive airway suctioning results in a lower prevalence of recollection of airway suction than in RES, but not in discomfort.",
keywords = "critical care, pain measurement, prospective studies, statistics, nonparametric, suction, clinical trial, kritische zorg, intubatie, intratracheal, herinneringen, pijnmetingen, statistiek, suctie",
author = "{van de Leur}, {Johannes P.} and Zwaveling, {Jan Harm} and Loef, {Bert G} and {van der Schans}, Cees",
year = "2003",
month = "3",
doi = "10.1007/s00134-003-1640-3",
language = "English",
volume = "29",
pages = "433--436",
journal = "Intensive care medicine",
issn = "0342-4642",
publisher = "Springer Verlag",
number = "3",

}

Patient recollection of airway suctioning in the ICU : routine versus a minimally invasive procedure. / van de Leur, Johannes P.; Zwaveling, Jan Harm; Loef, Bert G; van der Schans, Cees.

In: Intensive care medicine, Vol. 29, No. 3, 03.2003, p. 433-436.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Patient recollection of airway suctioning in the ICU

T2 - routine versus a minimally invasive procedure

AU - van de Leur, Johannes P.

AU - Zwaveling, Jan Harm

AU - Loef, Bert G

AU - van der Schans, Cees

PY - 2003/3

Y1 - 2003/3

N2 - OBJECTIVE: Many patients have an unpleasant recollection of routine endotracheal suctioning after discharge from the Intensive Care Unit (ICU). We hypothesized that through minimally invasive airway suctioning discomfort and stress may be prevented, resulting in less recollection.DESIGN: A prospective randomized clinical trial.SETTING: Two ICUs at the University Hospital of Groningen, the Netherlands.PATIENTS AND PARTICIPANTS: Adult patients with an intubation period exceeding 24 h were included.INTERVENTIONS: Patients received either routine endotracheal suctioning (RES) or minimally invasive airway suctioning (MIAS) during the duration of intubation.MEASUREMENTS AND RESULTS: Within 3 days after ICU discharge all patients were interviewed, regarding recollection and discomfort of suctioning. The level of discomfort was quantified on a visual analogue scale (VAS). We analyzed data from 208 patients (RES: n=113, and MIAS: n=95). A significantly lower prevalence of recollection of airway suctioning was found in the MIAS group (20%) compared to the RES group (41%) (P-value =0.001). No significant difference in level of discomfort was found between the RES and the MIAS group (P-value =0.136).CONCLUSIONS: Minimally invasive airway suctioning results in a lower prevalence of recollection of airway suction than in RES, but not in discomfort.

AB - OBJECTIVE: Many patients have an unpleasant recollection of routine endotracheal suctioning after discharge from the Intensive Care Unit (ICU). We hypothesized that through minimally invasive airway suctioning discomfort and stress may be prevented, resulting in less recollection.DESIGN: A prospective randomized clinical trial.SETTING: Two ICUs at the University Hospital of Groningen, the Netherlands.PATIENTS AND PARTICIPANTS: Adult patients with an intubation period exceeding 24 h were included.INTERVENTIONS: Patients received either routine endotracheal suctioning (RES) or minimally invasive airway suctioning (MIAS) during the duration of intubation.MEASUREMENTS AND RESULTS: Within 3 days after ICU discharge all patients were interviewed, regarding recollection and discomfort of suctioning. The level of discomfort was quantified on a visual analogue scale (VAS). We analyzed data from 208 patients (RES: n=113, and MIAS: n=95). A significantly lower prevalence of recollection of airway suctioning was found in the MIAS group (20%) compared to the RES group (41%) (P-value =0.001). No significant difference in level of discomfort was found between the RES and the MIAS group (P-value =0.136).CONCLUSIONS: Minimally invasive airway suctioning results in a lower prevalence of recollection of airway suction than in RES, but not in discomfort.

KW - critical care

KW - pain measurement

KW - prospective studies

KW - statistics, nonparametric

KW - suction

KW - clinical trial

KW - kritische zorg

KW - intubatie, intratracheal

KW - herinneringen

KW - pijnmetingen

KW - statistiek

KW - suctie

U2 - 10.1007/s00134-003-1640-3

DO - 10.1007/s00134-003-1640-3

M3 - Article

VL - 29

SP - 433

EP - 436

JO - Intensive care medicine

JF - Intensive care medicine

SN - 0342-4642

IS - 3

ER -