the effect of expiratory rib – cage compression before endotracheal suctioning on blood pressure in patients under mechanical ventilation
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چکیده
the effect of expiratory rib – cage compression before endotracheal suctioning on blood pressure in patients under mechanical ventilation shrvani y [1] *, piami bosary m [2] , agha hasan kashani s3, mosavi nasab n4, ghafouri fard m5 received: 21 apr , 2013 accepted: 12 jul , 2013 abstract background & aims : in patients undergoing mechanical ventilation because of an endotracheal tube, mucus production and secretion is high. because endotracheal suction in these patients is essential, chest physiotherapy techniques such as expiratory rib cage compression before endotracheal suctioning can be used as a means to facilitate mobilizing and removing airway secretion and improving alveolar ventilation. this study was carried out to determine the effect of expiratory rib cage compression before endotracheal suctioning on arterial blood pressure in patients receiving mechanical ventilation. materials & methods : this study was a clinical trial study with a crossover design. the study sample included 50 mechanically ventilated patients hospitalized in intensive care wards of hospitals of valiasr and ayatollah mousavi educational hospitals in zanjan. subjects were selected with consecutive sampling and randomly allocated to grope 1 or 2. the patients received endotracheal suctioning with or without rib cage compression with a minimum 3 hours interval between the two interventions. blood pressure was measured 5 minutes before, and 15, 25 minutes after endotracheal suctioning. the 2 measurement periods were carried out on the same day. we measured the blood pressure 5 min before suctioning, 15 and 25 min after suctioning. to analyze the data, spss16 was used. results: there was significant differences in the mean blood pressure between 5 minutes before as compared with 15 and 25 min after endotracheal suctioning in rib cage compression method (p<0.05). there was no significant difference in other method (p>0.05). moreover, there was significant differences in the mentioned variables (p=0.00). conclusion: according to the findings, the expiratory rib cage compression before endotracheal suctioning improves blood pressure in patients under mechanical ventilation. so, expiratory rib cage compression before endotracheal suctioning is recommended in the patients. key words: mechanical ventilation, endotracheal suctioning, expiratory rib cage compression, blood pressure address : zanjan university of medical sciences, faculty of nursing and midwifery. tel:(98) 9124425468 email : [email protected] [1] msc in critical care nursing, faculty of nursing and midwifery, zanjan university of medical sciences (corresponding author) 2 assistant professor, faculty of nursing and midwifery , zanjan university of medical sciences. 3 internist - pulmonologist, zanjan university of medical sciences and health services. 4 associated professor, phd in statistics, zanjan university of medical sciences. 5 msc in nursing, dept. of nursing, faculty of nursing and midwifery, zanjan university of medical sciences, zanjan, iran
منابع مشابه
The effect of expiratory rib cage compression before endotracheal suctioning on the vital signs in patients under mechanical ventilation
BACKGROUND In patients undergoing mechanical ventilation, mucus production and secretion is high as a result of the endotracheal tube. Because endotracheal suction in these patients is essential, chest physiotherapy techniques such as expiratory rib cage compression before endotracheal suctioning can be used as a means to facilitate mobilizing and removing airway secretion and improving alveola...
متن کاملthe effect of expiratory rib cage compression before endotracheal suctioning on the vital signs in patients under mechanical ventilation
background: in patients undergoing mechanical ventilation, mucus production and secretion is high as a result of the endotracheal tube. because endotracheal suction in these patients is essential, chest physiotherapy techniques such as expiratory rib cage compression before endotracheal suctioning can be used as a means to facilitate mobilizing and removing airway secretion and improving alveol...
متن کاملThe Effects of Rib Cage Compression before endotracheal suctioning
Abstract Introduction: Accumulation of secretions in airways is a serious complication in intubated and mechanically ventilated patients. Tracheal suctioning which is done with the aim of secretion removal can be used in conjunction with physiotherapy for effective airway clearance and improving gas exchange. Objective: The aim of study was to determine the effects of rib cage compression befor...
متن کاملتأثیر فشردن قفسه سینه در زمان بازدم قبل از ساکشن داخل تراشه بر تبادل گازهای خون شریانی بیماران تحت تهویه مکانیکی
Background & Aim : Endotracheal suctioning is one of the most frequently used methods for airway clearance in patients under mechanical ventilation. Chest physiotherapy techniques such as expiratory rib cage compression before endotracheal suctioning can be used as a means to facilitate mobilizing and removing airway secretions and improving alveolar ventilation. This study was carried out to...
متن کاملExpiratory rib cage compression, endotracheal suctioning, and vital signs.
1. Bousarri MP, Shirvani Y, Agha‐Hassan‐Kashani S, Nasab NM. The effect of expiratory rib cage compression before endotracheal suctioning on the vital signs in patients under mechanical ventilation. Iran J Nurs Midwifery Res 2014;19:285‐9. 2. Kohan M, Rezaei‐Adaryani M, Najaf‐Yarandi A, Hoseini F, Mohammad‐Taheri N. Effects of expiratory ribcage compression before endotracheal suctioning on art...
متن کاملتاثیر فشردن قفسهی سینه در زمان بازدم قبل از ساکشن داخل تراشه بر اکسیژناسیون خون شریانی بیماران تحت تهویه مکانیکی
Background and Objective: Hypoxia is a major problem in patients undergoing ventilation due to the high bronchioles secretion. This study aimed to determine the effect of expiratory rib-cage compression prior to endotracheal suctioning on arterial blood oxygenation (SpO2) in patients undergoing mechanical ventilation. Materials and Methods: This clinical trial with a crossover design included 5...
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مجله دانشکده پرستاری و مامایی ارومیهجلد ۱۱، شماره ۶، صفحات ۰-۰
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