The level of discomfort during the use of different circuits of the mechanical ventilator
Objectives: Endotracheal tube (ETT) intubation is a life-saving procedure in patients with respiratory failure. However, the presence of an ETT can cause significant discomfort. A tracheostomy tube is used to administer a mechanical ventilator, resulting in a more stable airway and fewer serious inj...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-04-01
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| Series: | Tzu Chi Medical Journal |
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| Online Access: | https://journals.lww.com/10.4103/tcmj.tcmj_236_23 |
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| author | Meng-Yi Liu Pei-Shan Hsu Chiu-Feng Wu Yao-Kuang Wu Mei-Chen Yang Wen-Lin Su I-Shiang Tzeng Chou-Chin Lan |
| author_facet | Meng-Yi Liu Pei-Shan Hsu Chiu-Feng Wu Yao-Kuang Wu Mei-Chen Yang Wen-Lin Su I-Shiang Tzeng Chou-Chin Lan |
| author_sort | Meng-Yi Liu |
| collection | DOAJ |
| description | Objectives:
Endotracheal tube (ETT) intubation is a life-saving procedure in patients with respiratory failure. However, the presence of an ETT can cause significant discomfort. A tracheostomy tube is used to administer a mechanical ventilator, resulting in a more stable airway and fewer serious injuries. Noninvasive ventilators (NIPPVs) administer ventilation through masks and must be tightly fixed to the face. ETT, tracheostomy, and NIPPV are the most common methods of ventilator maintenance. However, these interventions often cause discomfort to patients. This study aimed to compare discomfort associated with ETT, tracheostomy, and NIPPV.
Materials and Methods:
Forty-nine conscious patients with postextubation NIPPV and eight conscious patients who underwent postextubation tracheotomy were evaluated for discomfort. A questionnaire survey on discomfort was performed before and after NIPPV or tracheostomy. These patients reported their level of discomfort on a visual analog scale.
Results:
The levels of sore throat, nasal pain, body pain, activity limitation, respiratory discomfort, oral discomfort, difficulty coughing sputum, worry about respiratory tube disconnection, back pain, anxiety, worry about long-term admission, sleep disturbance, and general discomfort during ETT intubation were higher than during tracheostomy or NIPPV (all P < 0.05). The mean level of discomfort was approximately 5–6 points (moderate) in patients with ETT and 2–3 points (mild) in patients with NIPPV or tracheostomy.
Conclusion:
The level of discomfort was higher in patients who underwent ETT intubation than in those who underwent NIPPV or tracheostomy. However, the level of discomfort was similar between the patients with NIPPV and those who underwent tracheostomy. |
| format | Article |
| id | doaj-art-29facf34db8a4e378fb068484ee5ff8f |
| institution | DOAJ |
| issn | 1016-3190 2223-8956 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu Chi Medical Journal |
| spelling | doaj-art-29facf34db8a4e378fb068484ee5ff8f2025-08-20T03:17:43ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562024-04-0136331131810.4103/tcmj.tcmj_236_23The level of discomfort during the use of different circuits of the mechanical ventilatorMeng-Yi LiuPei-Shan HsuChiu-Feng WuYao-Kuang WuMei-Chen YangWen-Lin SuI-Shiang TzengChou-Chin LanObjectives: Endotracheal tube (ETT) intubation is a life-saving procedure in patients with respiratory failure. However, the presence of an ETT can cause significant discomfort. A tracheostomy tube is used to administer a mechanical ventilator, resulting in a more stable airway and fewer serious injuries. Noninvasive ventilators (NIPPVs) administer ventilation through masks and must be tightly fixed to the face. ETT, tracheostomy, and NIPPV are the most common methods of ventilator maintenance. However, these interventions often cause discomfort to patients. This study aimed to compare discomfort associated with ETT, tracheostomy, and NIPPV. Materials and Methods: Forty-nine conscious patients with postextubation NIPPV and eight conscious patients who underwent postextubation tracheotomy were evaluated for discomfort. A questionnaire survey on discomfort was performed before and after NIPPV or tracheostomy. These patients reported their level of discomfort on a visual analog scale. Results: The levels of sore throat, nasal pain, body pain, activity limitation, respiratory discomfort, oral discomfort, difficulty coughing sputum, worry about respiratory tube disconnection, back pain, anxiety, worry about long-term admission, sleep disturbance, and general discomfort during ETT intubation were higher than during tracheostomy or NIPPV (all P < 0.05). The mean level of discomfort was approximately 5–6 points (moderate) in patients with ETT and 2–3 points (mild) in patients with NIPPV or tracheostomy. Conclusion: The level of discomfort was higher in patients who underwent ETT intubation than in those who underwent NIPPV or tracheostomy. However, the level of discomfort was similar between the patients with NIPPV and those who underwent tracheostomy.https://journals.lww.com/10.4103/tcmj.tcmj_236_23endotracheal tubenoninvasive positive pressure ventilatorrespiratory failuretracheostomy |
| spellingShingle | Meng-Yi Liu Pei-Shan Hsu Chiu-Feng Wu Yao-Kuang Wu Mei-Chen Yang Wen-Lin Su I-Shiang Tzeng Chou-Chin Lan The level of discomfort during the use of different circuits of the mechanical ventilator Tzu Chi Medical Journal endotracheal tube noninvasive positive pressure ventilator respiratory failure tracheostomy |
| title | The level of discomfort during the use of different circuits of the mechanical ventilator |
| title_full | The level of discomfort during the use of different circuits of the mechanical ventilator |
| title_fullStr | The level of discomfort during the use of different circuits of the mechanical ventilator |
| title_full_unstemmed | The level of discomfort during the use of different circuits of the mechanical ventilator |
| title_short | The level of discomfort during the use of different circuits of the mechanical ventilator |
| title_sort | level of discomfort during the use of different circuits of the mechanical ventilator |
| topic | endotracheal tube noninvasive positive pressure ventilator respiratory failure tracheostomy |
| url | https://journals.lww.com/10.4103/tcmj.tcmj_236_23 |
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