Effectiveness of Suctioning with Hypertonic Saline Nebulization on Airway Clearance among Patients at Selected Hospitals.

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Ishwar Kendre, Swati Gorad

Abstract

One of the procedures that is most frequently performed in the ICU is mechanical ventilation. In addition to, a number of conditions, such as a weak cough, weak expiratory muscles and impaired mucociliary function can cause airway blockage in patients receiving manual ventilation1.


Hypertonic saline is a member of the mucolytic medication class. It's a briny concoction that says it hydrates the lung mucus first and the airway. Increasing airway hydration facilitates the extrusion of lung mucus from the respiratory tract. It facilitates increased lung mucus secretion from the respiratory tracts. This could help to maintain the health of your lungs and lower the incidence of respiratory infections4.


NEED OF STUDY: The majority of care settings, including acute care, sub-acute care, long-term care and residential settings, suction patients are done on a regular basis. When the patient is unable to clear the secretion from the respiratory system, suctioning is done. This can happen when there is an excessive amount of secretion production or insufficient clearance, which causes secretions to build up in the upper and lower respiratory system. This might result in an early obstruction of the efficient airflow. In the end, this results in decreased exchange of gases like oxygen and carbon dioxide, which are essential for ideal cellular performance11.


METHODOLOGY: The research methodology adopted for the study was quantitative research approach. The investigator used Quasi experimental, non-randomized, pre-test and post-test control group design. The study was based on the Wiedenbachs prescriptive theory. Accessible population selected for this study consisted, patients on mechanical ventilator and who are available during the study at selected hospitals. Sample size was 60 (experimental group 30 and control group 30) were selected as per inclusion criteria using non-probability convenience sampling technique.


RESULT: In experimental group, in pretest, 50% of the patients had very minimally cleared airway, 33.3% of them had minimally cleared airway and 16.7% of them had moderately cleared airway. In posttest, 13.3% of them had well cleared airway, 20%XV of them had moderately cleared airway and 66.7% of them had minimally cleared airway. In control group, in pretest, 46.7% of them the very minimally cleared airway, 20% of them had moderately cleared airway and 33.3% of them had minimally cleared airway. In posttest, 23.3% of them had moderately cleared airway, 56.7% of them had minimally cleared airway and 20% of them had very minimally cleared airway. This indicates that there is remarkably improvement in the airway clearance and ventilator associated pneumonia after the implementation of hypertonic saline nebulized suctioning.

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