4.1.2.3. Impact on hemodynamics. The hemodynamic impact of NSI
before endotracheal suctioning was assessed in 3 studies [23,24,27]. In
the study performed by Akgül and Akyolcu [27], the heart rate was demonstrated
to increase significantly after suctioning with NSI (P b .05).
In the remaining studies, no difference in hemodynamics was observed
between the groups [23,24].