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IRCT2013012312251N1 IRCT 2013-03-18 Lorestan University of Medical Sciences, Research Effect of open and closed suction on Ventilator-associated Pneumonia and hemodynamic status Effect of open and closed suction on Ventilator-associated Pneumonia and hemodynamic status in intensive care patients 2013-02-28 anticipated 86 Complete https://irct.ir/trial/12345 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A Pneumonia. Intervention 1: In the control group (open system suctioning) of tracheal tube and the ventilator was removed by entering the sterile catheter into the endotracheal tube to drain Discharge .After suctioning the patient and the ventilator is attached again. During endotracheal suctioning is about 10-5 s. Such measures during These measures is done during the first 72 hours of hospitalization in the intensive care unit and If needed. Intervention 2: In the intervention group, the suctioning using a closed system( TYE CARE mark) During the first 72 hours of hospitalization in the intensive care unit and if a patient needs to be done. During endotracheal suctioning is about 10-5 seconds.

public nasim alipour

Lorestan University of Medical Sciences-College ofnursing and Midwifery-Department of Nursing

khorramabad Iran (Islamic Republic of) 381351698 +98 66 1620 0146 n.alipour@umsha.ac.ir;alipour.0289@yahoo.com Lorestan University of Medical Sciences scientific tahereh tolabi

Lorestan University of Medical Sciences-College ofnursing and Midwifery-Department of Nursing

khorramabad Iran (Islamic Republic of) 381351698 +98 66 1620 0140 tolabi_t@lums.ac.ir; Toulabi_t@yahoo.com Lorestan University of Medical Sciences Iran (Islamic Republic of) Criteria include: the need for endotracheal intubation and mechanical ventilation with positive pressure, age 80-15 years, the time from admission to admission to the intensive care unit of the hospital in less than 4 hours, the lack of heart disease - cardiovascular, half-sitting position, nasal tube - stomach in all patients, the level of consciousness of less than 9, but did not receive a specific antibiotic routine antibiotics (cefazolin), suctioning of secretions and require much more than. Infection, pneumonia, respiratory failure, and underlying disease that increases the risk of pneumonia. Normal cardiac rhythm, arterial oxygen saturation greater than 90%, and Heart rate between 100 to 60 beats per minute before suctioning ,and the calibration of a ventilator and monitor all devices. Exclusion criteria Patients: a history of smoking, apart from mechanical ventilation and less than 72 hours Ayntvbh of death within 48 hours, received a heart drug during the project, the need for antibiotics and certain additional antibiotics routine (cefazolin) during the project increase during the discharge plan. 15 years 80 years Both J17 Pneumonia in diseases classified elsewhere Prevention Prevention In the control group (open system suctioning) of tracheal tube and the ventilator was removed by entering the sterile catheter into the endotracheal tube to drain Discharge .After suctioning the patient and the ventilator is attached again. During endotracheal suctioning is about 10-5 s. Such measures during These measures is done during the first 72 hours of hospitalization in the intensive care unit and If needed. In the intervention group, the suctioning using a closed system( TYE CARE mark) During the first 72 hours of hospitalization in the intensive care unit and if a patient needs to be done. During endotracheal suctioning is about 10-5 seconds. Ventilator-associated Pneumonia. Timepoint: After 72 hours of endotracheal intubation. Method of measurement: CIPS criteria. Hemodynamic status. Timepoint: Before suctioning immediately, 2 and 5 minutes after suctioning. Method of measurement: Cardiorespiratory monitoring device. Lorestan University of Medical Sciences, Research Approved 2013-03-12 Hamedan University of Medical Sciences Hamedan -shahied fahmideh street-University of Medical Sciences Hamedan Iran (Islamic Republic of)