Volume 21 Issue 3
Mar.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(3): 509-513
WANG Bin, DING Xingxing, SUN Yaohuan, WANG Hui, DONG Yinfeng. Comparison of the effect between closed endotracheal suctioning and open endotracheal suctioning on patients with severe craniocerebral injury: a meta-analysis[J]. Chinese Journal of General Practice, 2023, 21(3): 509-513. doi: 10.16766/j.cnki.issn.1674-4152.002919
Citation: WANG Bin, DING Xingxing, SUN Yaohuan, WANG Hui, DONG Yinfeng. Comparison of the effect between closed endotracheal suctioning and open endotracheal suctioning on patients with severe craniocerebral injury: a meta-analysis[J]. Chinese Journal of General Practice, 2023, 21(3): 509-513. doi: 10.16766/j.cnki.issn.1674-4152.002919
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Comparison of the effect between closed endotracheal suctioning and open endotracheal suctioning on patients with severe craniocerebral injury: a meta-analysis

doi: 10.16766/j.cnki.issn.1674-4152.002919

  • School of Nursing Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210023, China

Funds:

 BK20201402

  • Received Date: 2022-04-05
    Available Online: 2023-04-19
    Abstract
  •   Objective  To systematically evaluate the effects of closed and open endotracheal suctioning on patients with severe craniocerebral injury and provide scientific evidence for their selection.  Methods  We searched databases, including PubMed, Web of Science, EMBASE, the Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang, VIP database and China Biology Medicine Disc (CBM), for randomised controlled trials of closed and open endotracheal suctioning on patients with severe craniocerebral injury. Studies were independent selected by two researchers in accordance with the inclusion and exclusion criteria. Then, data were extracted, and the quality of literature was evaluated. Finally, RevMan 5.3 software was used to meta-analysis.  Results  Seven randomised controlled trials including 462 patients were included. The results of meta-analysis showed that the closed endotracheal suctioning was significantly superior to open endotracheal suctioning in decreasing intracranial pressure during suctioning (MD=-3.46, 95% CI: -4.85 to -2.08, P < 0.001) and at 5 min after suctioning (MD=-3.33, 95% CI: -3.92 to -2.74, P < 0.001), increasing SpO2 (MD=3.95, 95% CI: 3.28-4.62, P < 0.001) and PaO2(MD=19.06, 95% CI: 12.97-25.15, P < 0.001), and reducing the incidence of ventilator-associated pneumonia (RR=0.21, 95% CI: 0.10-0.43, P < 0.001). However, no significant influence on intracranial pressure was observed at 15 min after suctioning and on cerebral operfusion pressure during or after suctioning.  Conclusion  Compared with open endotracheal suctioning, closed endotracheal suctioning is more conductive to stabilising intracranial pressure, SpO2 and PaO2 and reducing the incidence of ventilator-associated pneumonia in patients with severe craniocerebral injury.

     

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