Patient recollection of airway suctioning in the ICU: routine versus a minimally invasive procedure.

Full Abstract

OBJECTIVE:
Many patients have an unpleasant recollection of routine endotracheal suctioning after discharge from the Intensive Care Unit (ICU). We hypothesized that through minimally invasive airway suctioning discomfort and stress may be prevented, resulting in less recollection.

DESIGN:
A prospective randomized clinical trial.

SETTING:
Two ICUs at the University Hospital of Groningen, the Netherlands.

PATIENTS AND PARTICIPANTS:
Adult patients with an intubation period exceeding 24 h were included.

INTERVENTIONS:
Patients received either routine endotracheal suctioning (RES) or minimally invasive airway suctioning (MIAS) during the duration of intubation.

MEASUREMENTS AND RESULTS:
Within 3 days after ICU discharge all patients were interviewed, regarding recollection and discomfort of suctioning. The level of discomfort was quantified on a visual analogue scale (VAS). We analyzed data from 208 patients (RES:
n=113, and

MIAS:
n=95). A significantly lower prevalence of recollection of airway suctioning was found in the MIAS group (20%) compared to the RES group (41%) (P-value =0.001). No significant difference in level of discomfort was found between the RES and the MIAS group (P-value =0.136).

CONCLUSIONS:
Minimally invasive airway suctioning results in a lower prevalence of recollection of airway suction than in RES, but not in discomfort.

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Author information

Author/s: Van de Leur, Johannes P (JP); Zwaveling, Jan Harm (JH); Loef, Bert G (BG); Van der Schans, Cees P (CP);

Affiliation: Centre for Rehabilitation, University Hospital Groningen, 9700 RB Groningen, The Netherlands. j.p.van.de.leur(-atsign-)rev.azg.nl

Journal and publication information

Publication Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial

Journal: Intensive care medicine (Intensive Care Med), published in United States. (Language: eng)

Reference: 2003-Mar; vol 29 (issue 3) : pp 433-6

Dates: Created 2003/03/07; Completed 2003/08/05; Revised 2006/11/15;

PMID: 12577155, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

ErratumIn: Intensive Care Med. 2003 Jul;29(7):1799.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Mental Recall
Middle Aged
Pain Measurement
Prospective Studies
Statistics, Nonparametric
Suction - adverse effects; methods

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