Unit:
Κατεύθυνση Κλινική Νοσηλευτική: Εντατική και Επείγουσα ΝοσηλευτικήLibrary of the School of Health Sciences
Author:
Andrioti Evangelia
Supervisors info:
Μυριανθεύς Παύλος, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Φιλντίσης Γεώργιος, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Κατσούλας Θεόδωρος, Επίκουρος Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Original Title:
Η σύγκριση της λιδοκαΐνης και της προποφόλης στις αντιδράσεις των ασθενών της Μονάδας Εντατικής Θεραπείας κατά την βρογχοαναρρόφηση
Translated title:
The comparison of lidocaine and propofol in the reactions of the intensive care unit patients during the endotracheal suctioning
Summary:
Background/Αim: The efficacy of propofol and lidocaine use prior to endotracheal suctioning and their comparison, in a process that is considered necessary but traumatic as experience. Vital signs, pain, annoyance or cough were evaluated during bronchial suctioning.
Method: Retrospective study. In the period 14/11/2016 - 08/03/2018, data on endotracheal suctioning were recorded. The sample includes 48 patients from 42-96 years (19 women - 29 men) of the ICU, tracheostomized or intubated, who did not receive any other sedative or analgesic agent. Blood pressure and heart rate monitoring was done using continuous ECG and invasive blood pressure measurement. Each patient participates for five days. The data collection was done at three times. Time 1: immediately before suctioning, time 2: during and 3: 1 minute after. Each day is divided into three periods. The 1st period is the control group. The patient does not receive a pharmaceutical agent. In the 2nd period propofol is used and in the 3rd period lidocaine. A descriptive and conclusive statistical analysis of the data was made.
Results: There is a statistically significant difference in patient responses. While there are close vital signs before suctioning in 3 cases, higher blood pressure, heart rate and pain/irritation reactions are observed when there is no pharmaceutical intervention than when lidocaine or propofol is used. In fact, propofol maintains a relatively stable heart rate while causing a small drop in blood pressure.
Conclusions: Suctioning is a routine treatment for many patients, so the discomfort occurs many times, as long as an endotracheal tube or a tracheostomy lasts. The use of propofol and lidocaine greatly reduces the discomfort of patients and prevents the increase in vital signs.
Main subject category:
Health Sciences
Keywords:
Suctioning, Propofol, Lidocaine, Cough, ICU
Number of references:
120
