The effect of endotracheal aspiration on QT interval in intensive care unit patients

Onur Avcı; Oğuz Gündoğdu; Zuhal Gülsoy; Sinan Gürsoy; İclal Özdemir Kol; Kenan KAYGUSUZ; Şerife Karagözoğlu; Fatma TOK YILDIZ

doi:https://doi.org/10.7197/223.vi.542781

Makale detayları

The effect of endotracheal aspiration on QT interval in intensive care unit patients

Yazarlar:

Onur Avcı | Oğuz Gündoğdu | Zuhal Gülsoy | Sinan Gürsoy | İclal Özdemir Kol | Kenan KAYGUSUZ | Şerife Karagözoğlu | Fatma TOK YILDIZ

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Cumhuriyet Medical Journal 2019 Vol.41 Issue 1, pp.190-196

Belge Tipi:

Makale

Yayın Tarihi:

3/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000922634

DOI:

https://doi.org/10.7197/223.vi.542781

Anahtar kelimeler:

Özet:

 


Objective: The intensive care unit (ICU) environment and applied methods may lead
to a significant stimulation of sympathoadrenal activity. There
are studies about the direct connection between increased plasma catecholamine
levels during sympathetic activation and QT interval. Therefore, the aim of
this study is to determine the effects of endotracheal aspiration on QT
interval and QT dispersion.


Method: 90 patients
connected to a mechanical ventilator from the ages of 30-70 in ICU were taken
into study. Patients taking any drug that prolongs QT, patients with unstable
hemodynamia and congenital QT prolongation were excluded. Preoxygenation was
done to all patients with 100% O2 administration for 1 minute before
the endotracheal aspiration (ET). Age, diagnosis, weight, systolic blood
pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP),
heart rate (HR), peripheral oxygen saturation (SpO2), QT, QTc,
Glasgow Coma Score (GCS) values were recorded before, during, 5 minutes after
and 10 minutes after the ET aspiration.


Results: During ET
aspiration, the mean QTc value was 445.1±23.0 milliseconds (ms), the mean QT
value was 379.2±19.3 ms. In 14% of
the patients included in the study, basal QTc values above 420 ms were found to
be prolonged. According to basal values, QT and QTc intervals were prolonged in
almost all patients during, 5 minutes after and 10 minutes after the ET
aspiration.









Conclusions: QT interval prolongation should always be
checked by calculating corrected QT interval, and ICU physicians need to be
more careful in patients with coronary heart disease and congenital prolonged QT
interval in terms of fatal ventricular arrhythmias.


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Makale detayları

The effect of endotracheal aspiration on QT interval in intensive care unit patients

Yazarlar:

Onur Avcı | Oğuz Gündoğdu | Zuhal Gülsoy | Sinan Gürsoy | İclal Özdemir Kol | Kenan KAYGUSUZ | Şerife Karagözoğlu | Fatma TOK YILDIZ

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Cumhuriyet Medical Journal 2019 Vol.41 Issue 1, pp.190-196

Belge Tipi:

Makale

Yayın Tarihi:

3/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000922634

DOI:

https://doi.org/10.7197/223.vi.542781

Qt intervali

Otc intervali

endotrakeal aspirasyon

Sayı

Makale detayları

The effect of endotracheal aspiration on QT interval in intensive care unit patients

Yazarlar: Onur Avcı | Oğuz Gündoğdu | Zuhal Gülsoy | Sinan Gürsoy | İclal Özdemir Kol | Kenan KAYGUSUZ | Şerife Karagözoğlu | Fatma TOK YILDIZ

Ana Başlıklar: Sağlık teşvikleri

Dergi: Cumhuriyet Medical Journal 2019 Vol.41 Issue 1, pp.190-196

Belge Tipi: Makale

Yayın Tarihi: 3/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000922634

DOI: https://doi.org/10.7197/223.vi.542781

Qt intervali

Otc intervali

endotrakeal aspirasyon

Sayı

Yazarlar:

Onur Avcı | Oğuz Gündoğdu | Zuhal Gülsoy | Sinan Gürsoy | İclal Özdemir Kol | Kenan KAYGUSUZ | Şerife Karagözoğlu | Fatma TOK YILDIZ

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Cumhuriyet Medical Journal 2019 Vol.41 Issue 1, pp.190-196

Belge Tipi:

Makale

Yayın Tarihi:

3/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000922634

DOI:

https://doi.org/10.7197/223.vi.542781