@article{Lema Zuluaga_Fernandez Laverde_Correa Varela_Zuleta Tobón_2018, title={As-needed endotracheal suctioning protocol vs a routine endotracheal suctioning in Pediatric Intensive Care Unit: A randomized controlled trial}, volume={49}, url={https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/3898}, DOI={10.25100/cm.v49i2.2273}, abstractNote={<p>Objective: To compare two endotracheal suctioning protocols according to morbidity, days of mechanical ventilation, length of stay in the Pediatric Intensive Care Unit (PICU), incidence of VentilatorAssociated Pneumonia (VAP) and mortality.</p> <p>Methods: A Pragmatic randomized controlled trial performed at University Hospital Pablo Tobón Uribe, Medellin-Colombia. Fortyfive children underwent an as-needed endotracheal suctioning protocol and forty five underwent a routine endotracheal suctioning protocol. Composite primary end point was the presence of hypoxemia, arrhythmias, accidental extubation and heart arrest. A logistic function trough generalized estimating equations (GEE) were used to calculate the Relative Risk for the main outcome.</p> <p>Results: Characteristics of patients were similar between groups. The composite primary end point was found in 22 (47%) of intervention group and 25 (55%) children of control group (RR= 0.84; 95% CI: 0.56-1.25), as well in 35 (5.8%) of 606 endotracheal suctioning performed to intervention group and 48(7.4%) of 649 performed to control group (OR= 0.80; 95% CI: 0.5-1.3).</p> <p>Conclusions: There were no differences between an as-needed and a routine endotracheal suctioning protocol. Trial Registration: ClinicalTrials.gov identifier: NCT01069185</p>}, number={2}, journal={Colombia Medica}, author={Lema Zuluaga, Gloria Lucía and Fernandez Laverde, Mauricio and Correa Varela, Ana Marverin and Zuleta Tobón, John}, year={2018}, month={Jun.}, pages={139–147} }