Endotracheal suctioning versus minimally invasive airway suctioning in intubated patients: a prospective randomised controlled trial

Johannes P Van de Leur, Jan H Zwaveling, Bert G Loef, Cees van der Schans

Onderzoeksoutput: ArticleAcademicpeer review

Samenvatting

STUDY OBJECTIVE: Endotracheal suctioning in intubated patients is routinely applied in most ICUs but may have negative side effects. We hypothesised that on-demand minimally invasive suctioning would have fewer side effects than routine deep endotracheal suctioning, and would be comparable in duration of intubation, length of stay in the ICU, and ICU mortality.

DESIGN: Randomised prospective clinical trial.

SETTING: In two ICUs at University Hospital Groningen, the Netherlands.

PATIENTS: Three hundred and eighty-three patients requiring endotracheal intubation for more than 24 h.

INTERVENTIONS: Routine endotracheal suctioning (n=197) using a 49-cm suction catheter was compared with on-demand minimally invasive airway suctioning (n=186) using a suction catheter only 29 cm long.

MEASUREMENTS AND RESULTS: No differences were found between the routine endotracheal suctioning group and the minimally invasive airway suctioning group in duration of intubation [median (range) 4 (1-75) versus 5 (1-101) days], ICU-stay [median (range) 8 (1-133) versus 7 (1-221) days], ICU mortality (15% versus 17%), and incidence of pulmonary infections (14% versus 13%). Suction-related adverse events occurred more frequently with RES interventions than with MIAS interventions; decreased saturation: 2.7% versus 2.0% (P=0.010); increased systolic blood pressure 24.5% versus 16.8% (P<0.001); increased pulse pressure rate 1.4% versus 0.9% (P=0.007); blood in mucus 3.3% versus 0.9% (P<0.001).

CONCLUSIONS: This study demonstrated that minimally invasive airway suctioning in intubated ICU-patients had fewer side effects than routine deep endotracheal suctioning, without being inferior in terms of duration on intubation, length of stay, and mortality.

Originele taal-2English
Pagina's (van-tot)426-432
TijdschriftIntensive Care Medicine
Volume29
Nummer van het tijdschrift3
DOI's
StatusPublished - mrt 2003

Keywords

  • kosten-baten analyse
  • zorg
  • intubatie, intratracheal
  • kunstmatige ademhaling
  • suctie
  • klinisch onderzoek

Vingerafdruk

Duik in de onderzoeksthema's van 'Endotracheal suctioning versus minimally invasive airway suctioning in intubated patients: a prospective randomised controlled trial'. Samen vormen ze een unieke vingerafdruk.

Citeer dit