Volume 20, Issue 81 (9-2012)                   J Adv Med Biomed Res 2012, 20(81): 9-17 | Back to browse issues page

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Shirvani Y, Payami Bousari M, Kashani S A H, Mosavi Nasab S N. Effect of Expiratory Rib-cage Compression prior to Endotracheal Suctioning on Arterial Blood Oxygenation in Mechanically Ventilated Patients. J Adv Med Biomed Res 2012; 20 (81) :9-17
URL: http://journal.zums.ac.ir/article-1-1882-en.html
1- School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
2- School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran. , Payami@zums. ac.ir
3- Dept. of Internal Medicine, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
4- Dept. of Statistics, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract:   (157990 Views)

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 50 mechanically ventilated patients hospitalized in the intensive care units of two educational hospitals (Vali-e-Asr and Ayatollah Mousavi) of Zanjan using the convenience sampling method. The participants were randomly divided into two groups. During the first phase of the study, the rib-cage compression was performed once for five minutes prior to suctioning in group one. The other group received suctioning without any rib-cage compression. The procedures were performed in a reverse fashion in the two groups after three hours. SpO2 was measured three times: five minutes prior to the endotracheal suctioning, and 15 and 25 minutes following the procedure. Data were analyzed using independent and paired t-tests. Results: There were statistically significant differences in the SpO2 mean values between five minutes before and 15 minutes after the endotracheal suctioning in patients who received endotracheal suctioning with the rib-cage compression (P< 0.05). Moreover, there was a statistically significant difference between the mean SpO2 values in the same intervals between the two groups (P< 0.0001). Conclusion: The results show that expiratory rib-cage compression prior to endotracheal suctioning improves arterial blood oxygenation in patients undergoing mechanical ventilation. Therefore, we recommend performing the procedure.

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Type of Study: Clinical Trials |
Received: 2012/08/27 | Accepted: 2014/06/21 | Published: 2014/06/21

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