KẾT QUẢ ÁP DỤNG HÚT LIÊN TỤC DỊCH TRÊN BÓNG CHÈN TRONG CHĂM SÓC BỆNH NHÂN ĐẶT ỐNG NỘI KHÍ QUẢN

Abstract

Objective: To evaluate the results of applying continuous suctioning of fluid on the cuff in the care of patients with endotracheal intubation at the Intensive Care Center - Bach Mai Hospital. Method: a cross-sectional observation interventional study, data was collected on all patients who using endotracheal intubation and upper respiratory tract during period from September 2023 to November 2024. Results: 140 patients with endotracheal intubation and upper respiratory tract suctioning with 2013 oral cavity observations on patients with continuous hypopharyngeal suctioning and 1120 intermittent hypopharyngeal suctioning with a male/female ratio of 2/1, mean age: 60.88 ± 15.40, of which 92 patients had continuous hypopharyngeal suctioning, accounting for 65.71%. The rate of high pharyngeal fluid level in the continuous suction group was lower than that in the intermittent suction group (8% vs. 24.6%, statistically significant difference with p < 0.05). In patients with continuous hypopharyngeal suction, the average amount of oral fluid aspirated per day was about 39 - 66 ml/day, the highest was 270 ml/day, the lowest was about 5-10 ml/day. The amount of fluid aspirated on the cuff in patients using Hilo-Evac endotracheal tubes was also less than in the group of patients with continuous hypopharyngeal suction (3.66 ± 13.9 vs. 35.67 ± 36.1, p < 0.05 on day 1). Conclusion: Continuous upper airway suctioning technique reduces the frequency of oral fluid retention compared with standard care, and also reduces the amount of fluid aspirated on the balloon when compared with the standard care group.