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Critical Care Research and Practice
Volume 2015, Article ID 470842, 7 pages
http://dx.doi.org/10.1155/2015/470842
Research Article

Open and Closed Endotracheal Suctioning and Arterial Blood Gas Values: A Single-Blind Crossover Randomized Clinical Trial

1Kermanshah School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
2Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
3School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran

Received 24 June 2015; Accepted 26 August 2015

Academic Editor: Timothy E. Albertson

Copyright © 2015 Azam Faraji et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. This study was aimed at comparing the effects of the open and closed suctioning techniques on the arterial blood gas values in patients undergoing open-heart surgery. Methods. In a clinical trial, we recruited 42 patients after open-heart surgery in an educational hospital. Each patient randomly underwent both open and closed suctioning. ABGs, PaO2, SaO2, PaCO2, were analyzed before and one, five, and fifteen minutes after each suctioning episode. Results. At first the pressure of oxygen in arterial blood increased; however, this increase in the open technique was greater than that of the closed system . The pressure of oxygen decreased five and fifteen minutes after both suctioning techniques . The trends of carbon dioxide variations after the open and closed techniques were upward and downward, respectively. Moreover, the decrease in the level of oxygen saturation five and fifteen minutes after the open suctioning was greater than that of the closed suctioning technique .  Conclusion. Arterial blood gas disturbances in the closed suctioning technique were less than those of the open technique. Therefore, to eliminate the unwanted effects of endotracheal suctioning on the arterial blood gases, the closed suctioning technique is recommended.