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NCT06692400 | RECRUITING | Intensive Care Unit ICU


The Effects of Endotracheal Suctioning on Pain and Serum Markers
Sponsor:

Loma Linda University

Brief Summary:

The goal of this experimental study is to understand if endotracheal tube (ETT) suctioning increases pain and causes stress on the body in intubated adult ICU patients. These patients are already on ventilators, which means they need suctioning to keep their airways clear, but this procedure may be uncomfortable and cause stress. The main questions this study aims to answer are: Does ETT suctioning raise pain levels as measured by the Critical-Care Pain Observation Tool (CPOT)? Does ETT suctioning increase certain chemicals in the blood (hypoxanthine, xanthine, and uric acid) that show stress and lack of oxygen in the body? Researchers will compare patients who have ETT suctioning (intervention group) with those who do not have suctioning during the study period (control group) to see if there are differences in pain and blood markers of stress. Participants will: Have pain measured before and after suctioning using the CPOT. Have blood samples taken from an existing line at three time points: 5 minutes before, 5 minutes after, and 30 minutes after suctioning. Provide demographic information (like age, gender, and diagnosis) from medical records. This research will help improve how pain is managed for ICU patients who cannot speak for themselves, potentially leading to better pain relief methods in the future.

Condition or disease

Intensive Care Unit ICU

Intubation

Critical Illness

Mechanical Ventilation

Pain Measurement

Pain, Procedural

Oxidative Stress

Hypoxia

Biomarkers / Blood

Adult

Uric Acid

Sepsis

Covid

Influenza

Pneumonia

Intervention/treatment

endotracheal tube suctioning

Phase

NA

Study Type : INTERVENTIONAL
Estimated Enrollment : 110 participants
Masking : SINGLE
Masking Description : The lab technician who results the labs will be blinded.
Primary Purpose : SUPPORTIVE_CARE
Official Title : The Impact of Endotracheal Suctioning on Pain, Hypoxia, and Oxidative Stress Biomarkers in Intubated Adult ICU Patients: A Controlled Trial
Actual Study Start Date : 2025-01-30
Estimated Primary Completion Date : 2025-04
Estimated Study Completion Date : 2026-01

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • * Adults (aged 18 years and older)
  • * Current diagnosis of flu, pneumonia, COVID, or sepsis
  • * Intubated and receiving mechanical ventilation.
  • * Have arterial lines placed
  • * Require endotracheal suctioning as part of their care
Exclusion Criteria
  • * Patients receiving neuromuscular blocking agents
  • * Contraindications for blood draws (hemoglobin levels below 8.0 g/dL; Jehovah's Witness)

The Effects of Endotracheal Suctioning on Pain and Serum Markers

Location Details

NCT06692400


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Locations


RECRUITING

United States, California

Loma Linda University Medical Center Troesh Medical Campus

Loma Linda, California, United States, 92354

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