Navegando por Palavras-chave "Closed system suctioning"

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    Randomized crossover trial of endotracheal tube suctioning systems use in newborns
    (Wiley, 2017) Cardoso, Jaqueline M. [UNIFESP]; Kusahara, Denise M. [UNIFESP]; Guinsburg, Ruth [UNIFESP]; Pedreira, Mavilde L. G. [UNIFESP]
    BackgroundMaintaining endotracheal tube patency is critical for neonates receiving mechanical ventilation. Endotracheal tube suctioning removes accumulated secretions preventing potential adverse events, however is also potentially hazardous to the patient. ObjectiveTo compare respiratory rate, arterial blood oxygen saturation, heart rate and pain in newborns undergoing endotracheal tube suctioning with closed (CS) and open (OS) systems. MethodsRandomized crossover trial with 13 newborns from two Brazilian hospitals. The respiratory rate, arterial blood oxygen saturation, heart rate and pain (Premature Infant Pain Profile) were analysed: immediately before (T1), during (T2), immediately after (T3), 10 min after (T4) and 30 min (T5) after endotracheal suctioning. ResultsThe majority (11/850%) of the newborns were premature and 45% weighed less than 1000 g. No statistically significant difference was identified according to the use of CS or OS to all the parameters investigated. The main results demonstrated that in T2 arterial blood oxygen saturation was higher with CS (CS 930%