Zeitoun S S, de Barros A L, Diccini S, Juliano Y
Saúde do Aulto-Departamento de Enfermagem da Universidade Federal de São Paulo-EPM.
Rev Lat Am Enfermagem. 2001 Jan;9(1):46-52. doi: 10.1590/s0104-11692001000100007.
This a randomized clinical trial in which 20 patients were prospectively evaluated for the incidence of ventilator-associated pneumonia (VAP), of whom 12 received endotracheal suctioning by an open-suction method and 8 by a closed-suction method. Differences in the incidence of VAP was not significantly different (p = 0.4) between closed and open suctioning. Differences in Acute Physiology and Chronic Health Evaluation II, duration of entubation, and the use of steroids were all not significant. All patients in the study used H2 antagonist and a nasogastric tube. Proceeding with the study will involve a sample increase with a possible change in the results.
这是一项随机临床试验,前瞻性评估了20例患者呼吸机相关性肺炎(VAP)的发生率,其中12例采用开放式吸痰法进行气管内吸痰,8例采用封闭式吸痰法。封闭式吸痰和开放式吸痰之间VAP发生率的差异无统计学意义(p = 0.4)。急性生理与慢性健康状况评分系统II、插管持续时间和类固醇的使用差异均无统计学意义。研究中的所有患者均使用H2拮抗剂和鼻胃管。继续进行该研究将需要增加样本量,结果可能会发生变化。