Objective: to determine the impact of closed endotracheal suction system on the values of arterial blood gases of patients undergoing open heart surgery in Imam Ali hospital, kermanshah.
Study design: randomized.
Study population: Patients undergoing open heart surgery and admitted to the intensive care unit at Imam Ali hospital.
Major inclusion criteria: having an endotracheal tube, being under mechanical ventilation, having acceptable clinical and Para clinical criteria such as sufficient tissue perfusion and urinary output.
Major exclusion criteria: having paranchymal lung diseases, congestive heart failure, chronic smoker, congenital cyanotic diseases, right to left shunt, and renal failure.
Sample Size: 42 patients.
Intervention: using closed and open endotracheal suction systems.
Time of intervention: firstly, closed or open endotracheal suction randomly will be performed for each patient and for the second time vice versa. In order to remove the effects of previous suction on the results of the next one, the interval between the two suctions, is to at least 60 minutes. Before the tracheal suction an arterial blood sample will be taken for having the base value. Arterial blood samples will be taken 1, 5 , and 15 minutes after each suction in the both methods.
Primary outcomes: abg results