An Association Between Pain and American Association of Respiratory Care 2010 Guidelines During Tracheal Suctioning

INTRODUCTION:Tracheal suctioning is recalled by mechanically ventilated patients as the most painful procedure during their stay in the intensive care unit. AIM:The aim of this study was to evaluate whether the implementation of American Association of Respiratory Care suction guidelines positively affects the levels of patients’ pain. MATERIALS AND METHODS:This is a prospective observational study on adult patients admitted to 2 general intensive care units. Pain levels in sedated mechanically ventilated patients were recorded before, during, and after tracheal suctioning, using the Critical Care Pain Observation Tool (CPOT). RESULTS:Forty-seven patients were enrolled, with a mean age of 61.72 (±18.46) years. Median CPOT value was 0 (quartile 1 [Q1] [25%], 0; quartile 3 [Q3] [75%], 0; min, 0; max, 2) during the procedure. The Critical Care Pain Observation Tool reached a median value of 3, while 5 minutes after suctioning. Postprocedural CPOT median score was 0 (Q1 [25%], 0; Q3 [75%], 0; min, 0; max, 2). The median number of passes during suctioning was 1 (Q1, 1; Q3, 2). The sizes of suction catheters used in the recorded procedures were as follows12F in 27 cases (57%), 14F in 18 cases (38%), and 10F in 2 cases (5%). The median size of the endotracheal tube was 7.5 mm (Q1, 7.5; Q3, 8). The correct ratio between endotracheal tube diameter and suction catheter was used in 24 procedures (51%). CONCLUSIONS:Despite the low number of patients, this study showed that the implementation of the American Association of Respiratory Care 2010 endotracheal suctioning guidelines into practice helps to reduce procedural-induced pain. Therefore, training and continuing education are important for clinical staff performing tracheal suctioning..

Medienart:	Artikel

Erscheinungsjahr:	2016
Erschienen:	2016

Enthalten in:	Zur Gesamtaufnahme - volume:35
Enthalten in:	Dimensions of critical care nursing - 35(2016), 5, Seite 283-290

Sprache:	Englisch

Beteiligte Personen:	Lucchini, Alberto [VerfasserIn] Canesi, Marta [Sonstige Person] Robustelli, Gaia [Sonstige Person] Fumagalli, Roberto [Sonstige Person] Bambi, Stefano [Sonstige Person]

Links:	Volltext ovidsp.ovid.com www.ncbi.nlm.nih.gov

BKL:	44.00

doi:	10.1097/DCC.0000000000000200

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	OLC198275463X