Comparison between Outcomes of implementing shallow versus deep endotracheal tube suctioning among mechanically ventilated patients

Document Type : Research articles

Authors

1 clinical instractor Critical Care and Emergency Nursing, Faculty of Nursing, Matrouh University

2 Professor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University

3 , Assistant Professor Critical Care Medicine, Faculty of medicine, Alexandria University

4 Assistant Professor Critical Care and Emergency Nursing, Faculty of Nursing, Matrouh University.

5 , Lecturer Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University

Abstract

Background: In Intensive Care Units (ICUs), the primary objective of nursing
intervention for patients who are ventilated and intubated is to maintain a clean
airway. Alveolar collapse, atelectasis, and infection are possible risks for patients
undergoing intubation. Objective: To Compare between Outcomes of implementing
shallow vs deep endotracheal tube suctioning among mechanically ventilated
patients. Settings: The study was carried out at the Intensive Care Units of the
following hospitals: Alexandria Main University Hospital (AMUH) that includes
four 4 Critical care units namely: Unit (II) with a bed capacity of 12 beds unit (III)
with a bed capacity of 18 beds (IV) with a bed capacity of 8 beds and unit (V) with a
bed capacity of 12 beds. Subjects: Eighty 80 critically ill adult patients receiving
invasive mechanical ventilation were selected for this analysis. Tools: two tools
were used. Tool I: Adult endotracheal suctioning management tool " Tool II: pain
assessment ". Results: The study showed that there was highly statistically
significant difference found between the two groups regarding their catheter suction
size, at (P <0.001). On the other hand, there were highly statistically significant
differences found between the mean Glasgow coma scores differences among the
studied patients' and the all items of their bio-demographic data, at (P <0.001).
Conclusion: The application of the shallow suction system leads to fewer
disturbances in the hemodynamic parameters especially, in respiratory rate, oxygen
saturation, heart rate, mean arterial blood pressures compared to deep suction
system in mechanically ventilated patients. Recommendations: Staff should take
more protection procedure when they deal with critically ETT ill patients because
this can help in determining how well the task is performed and identifying factors
that help or hinder procedure achievement.

Keywords

Alexandria Scientific Nursing Journal
Volume 27, Issue 3
September 2025
Pages 123-138

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