Open versus Closed Suctioning Among Mechanically Ventilated Pediatric Patients: A Randomised Control Trial.

IF 2.1 4区医学 Q2 PEDIATRICS

Indian Journal of Pediatrics Pub Date : 2025-06-01 Epub Date: 2024-03-13 DOI:10.1007/s12098-024-05069-2

Subhranshu Sekhar Dhal, Rajiv Aggarwal, Hiremath Sagar, Nirmal Kumar Mohakud, Anilkumar Sapare, Sourav Padhee, Manaswinee Sahoo

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引用次数: 0

Abstract

Objectives: To compare the difference in efficacy of closed tracheal suction system (CTSS) to open tracheal suction system (OTSS) in reducing incidence of ventilator associated pneumonia (VAP). Also to evaluate their efficacy in stabilizing cardio-respiratory parameters, reducing mortality and duration of intubation.

Methods: This study was a single centre, parallel group, open label, randomized controlled study with an equal allocation (1:1) in pediatric patients requiring mechanical ventilation. A specific suction system of CTSS or OTSS was assigned to the two groups based on randomization. All the demographic, clinical, laboratory parameters and treatment outcomes were noted in the preformed sheet.

Results: Total 116 eligible pediatric ventilated patients were studied. Total incidence of VAP was 9 (7.75%) of which 3 occurred in open and 6 in closed suction group. Rate of VAP was similar among both the groups with RR 2.11 (95% CI 0.50-8.9). However, significant number of infection-related ventilator associated condition (IVAC) were found in CTSS (17) compared to OTSS (6) group with RR 3.5 (95% CI 1.3-9.9). SpO₂ was better maintained in the CTSS group post-suction (p = 0.001). Incidence of mortality and intubation days were similar between both groups.

Conclusions: Incidence of VAP was similar between open and closed suction groups.

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机械通气儿科患者的开放式吸痰与封闭式吸痰：随机对照试验

目的比较封闭式气管吸引系统（CTSS）与开放式气管吸引系统（OTSS）在降低呼吸机相关肺炎（VAP）发病率方面的疗效差异。同时评估它们在稳定心肺功能参数、降低死亡率和缩短插管时间方面的功效：本研究是一项单中心、平行分组、开放标签、随机对照研究，对需要机械通气的儿科患者进行了等额分配（1:1）。根据随机分配，两组患者分别使用 CTSS 或 OTSS 抽吸系统。所有的人口统计学、临床、实验室参数和治疗结果都记录在事先准备好的表格中：共有 116 名符合条件的儿科呼吸机患者接受了研究。VAP 总发生率为 9 例（7.75%），其中 3 例发生在开放吸引组，6 例发生在封闭吸引组。两组的 VAP 发生率相似，RR 均为 2.11（95% CI 0.50-8.9）。但 CTSS 组（17 例）与 OTSS 组（6 例）相比，发现了大量与感染相关的呼吸机相关病症（IVAC），RR 为 3.5（95% CI 1.3-9.9）。CTSS 组抽吸后 SpO2 维持得更好（P = 0.001）。两组的死亡率和插管天数相似：结论：开放式抽吸组和封闭式抽吸组的 VAP 发生率相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Pediatrics 医学-小儿科

CiteScore

8.10

自引率

7.00%

发文量

394

审稿时长

3-6 weeks

期刊介绍： Indian Journal of Pediatrics (IJP), is an ofﬁcial publication of the Dr. K.C. Chaudhuri Foundation. The Journal, a peer-reviewed publication, is published twelve times a year on a monthly basis (January, February, March, April, May, June, July, August, September, October, November, December), and publishes clinical and basic research of all aspects of pediatrics, provided they have scientific merit and represent an important advance in knowledge. The Journal publishes original articles, review articles, case reports which provide new information, letters in relation to published articles, scientific research letters and picture of the month, announcements (meetings, courses, job advertisements); summary report of conferences and book reviews.