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The Effects of Hyperventilation and Hyperoxygenation Before and After Endotracheal Suctioning Using Closed-Suction System on Mechanically Ventilated Patients

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KMID : 1004620060120020097
½ÅÇöÁÖ ( Shin Hyeon-Ju ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç

±èÁ¤¾Æ ( Kim Jeong-Ah ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
±ÇÀº¿Á ( Kwon Eun-Ok ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
³ëÈ­°æ ( Noh Hwa-Kyung ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
±è¹Ì¿µ ( Kim Mi-Young ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
³ëÁø¼÷ ( Noh Jin-Sook ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
±Ç¿µ¿Á ( Kwon Young-Ok ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
±ÇÁ¤¾Æ ( Kwon Jeong-Ah ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
¼ÕÈñ°æ ( Son Hee-Kyong ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
±è¼¼Çö ( Kim Se-Hyeon ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
¼­¹ÌÈñ ( Seo Mi-Hee ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
±è¼±¿µ ( Kim Sun-Young ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
ÀÌ¿µÁø ( Lee Young-Jin ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
³²ÁöÇö ( Nam Ji-Hyeon ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
¿ìÁ¤Èñ ( Woo Jeong-Hee ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¼­¿ï´ëÇб³º´¿ø ³»°úÁßȯÀÚ½Ç
±è¸í¾Ö ( Kim Myung-Ae ) - ¼­¿ï´ëÇб³º´¿ø

Abstract

Purpose: The purpose of this study was to identify the effects of hyperventilation and hyperoxygenation before and after endotracheal suctioning using closed-suction system on mechanically ventilated patients.

Method: We selected 20 patients who were mechanically ventilated and randomly assigned into 4 groups according to the type of treatments using repeated measure. We applied 3 types of treatment, hyperventilation, hyperoxygenation, hyperventilation & hyperoxygenation, and no treatment and measured physiologic effects-SpO2, HR and, mena BP.

Result: There were no significant differences between the group with no treatment and the group with hyperventilation, before and after endotracheal suctioning using closed-suction system(SpO2(p=.693), HR(p=.970) and mean BP(p=.638)). There were no significant differences between the group with no treatment and the group with hyperoxygenation before and after endotracheal suctioning using closed-suction system(SpO2(p=.693), HR(p=.970) and mean BP(p=.638)). There were no significant differences between the group with no treatment and the group with hyperventilation & hyperoxygenation before and after endotracheal suctioning using closed-suction system(SpO2(p=.693), HR(p=.970) and mean BP(p=.638)).

Conclusion: As the results, all of the methods, hyperventilation, hyperoxygenation, and hyperventilation & hyperoxygenation can be used when nurses apply endotracheal suctioning using closed-suction systems. In case of hypoxemic patients, hyperoxygenation is recommended for prevention of deoxygenation due to endotracheal suctioning using closed-suction systems.
KeyWords
±âµµÈíÀÎ, Æó¼âÇü ±âµµÈíÀÎ, °úȯ±â, °ú»ê¼Ò
Suction, Purpose: The purpose of this study was to identify the effects of hyperventilation and hyperoxygenation before and afterClosed-suction system, Hyperventilation, Hyperoxygenation
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