Comparison of Open and Closed Aspiration in Newborns

Izmir Katip Celebi University

Status: Enrolling

Conditions: Newborn

Treatments: Other: Suction

Study type: Interventional

Funder types: Other

Identifiers

NCT06435572

aslialaca

Details and patient eligibility

About

Endotracheal aspiration is a necessary procedure performed by nurses in neonatal intensive care units to increase oxygenation and remove secretions from the airways. It is one of the painful procedures that most frequently causes stress in intubated newborns.

Full description

The aim of this study is to examine the effect of open and closed system suction, which is one of the invasive procedures frequently applied in neonatal intensive care, on the baby's pain and vital signs. There is a need for innovative, evidence-based practices to be implemented by nurses in clinics to minimize complications related to endotracheal suction.

Enrollment: 30 estimated patients

Sex: All

Ages: 1+ day old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Newborns monitored with mechanical ventilation
• Newborn who need suctioning,
• Newborn who did not undergo painful procedures one hour before aspiration.
• Hemodynamically stable newborn;

Exclusion criteria

• Newborn with any facial/skull deformities
• Newborn with chromosomal/genetic abnormalities

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

30 participants in 1 patient group

Experimental and A control group

Experimental group

Description:

Each patient will be evaluated as both the experimental and control group. In line with the patient's aspiration needs, two different suction methods will be applied and the effects of the methods will be evaluated on the same patient. In the study, open suction applied to the patient will be considered as the control group, and closed suction will be considered as the experimental group. The first suction of the same patient during the day will be performed as open suction, and the second suction will be performed as closed suction. Pain and physiological parameters will be evaluated before, during and 30 minutes after each sucking session.

Treatment:

Other: Suction