As-needed endotracheal suctioning protocol vs a routine endotracheal suctioning in Pediatric Intensive Care Unit: A randomized controlled trial.

Autor: Lema-Zuluaga GL; Epidemiology Academic Group (GRAEPIC), Universidad de Antioquia, Medellin, Colombia.; Research Unit, Hospital Pablo Tobón Uribe, Medellín, Colombia., Fernandez-Laverde M; Hospital Pablo Tobón Uribe, Medellín, Colombia.; Universidad CES, Medellin, Colombia., Correa-Varela AM; Hospital Pablo Tobón Uribe, Medellín, Colombia., Zuleta-Tobón JJ; Epidemiology Academic Group (GRAEPIC), Universidad de Antioquia, Medellin, Colombia.; Research Unit, Hospital Pablo Tobón Uribe, Medellín, Colombia.
Jazyk: angličtina
Zdroj: Colombia medica (Cali, Colombia) [Colomb Med (Cali)] 2018 Jun 30; Vol. 49 (2), pp. 148-153. Date of Electronic Publication: 2018 Jun 30.
DOI: 10.25100/cm.v49i2.2273
Abstrakt: Objective: To compare two endotracheal suctioning protocols according to morbidity, days of mechanical ventilation, length of stay in the Pediatric Intensive Care Unit (PICU), incidence of Ventilator-Associated Pneumonia (VAP) and mortality.
Methods: A Pragmatic randomized controlled trial performed at University Hospital Pablo Tobón Uribe, Medellin-Colombia. Forty-five children underwent an as-needed endotracheal suctioning protocol and forty five underwent a routine endotracheal suctioning protocol. Composite primary end point was the presence of hypoxemia, arrhythmias, accidental extubation and heart arrest. A logistic function trough generalized estimating equations (GEE) were used to calculate the Relative Risk for the main outcome.
Results: Characteristics of patients were similar between groups. The composite primary end point was found in 22 (47%) of intervention group and 25 (55%) children of control group (RR= 0.84; 95% CI: 0.56-1.25), as well in 35 (5.8%) of 606 endotracheal suctioning performed to intervention group and 48 (7.4%) of 649 performed to control group (OR= 0.80; 95% CI: 0.5-1.3).
Conclusions: There were no differences between an as-needed and a routine endotracheal suctioning protocol.
Trial Registration: ClinicalTrials.gov identifier NCT01069185.
Competing Interests: Conflict of interest: The authors declare no conflicts of interest.
Databáze: MEDLINE
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