Inter-Professional-Compassionate pain management during endotracheal suctioning: a valuable lesson from a Chinese surgical intensive care unit

Objective:To compare the effects of a pain management program and routine suctioning methods on the level of pain presence and agitation in Chinese adults admitted to the intensive care unit.To disseminate the results from the implementation of the evidence-informed pain management interventions for reducing pain presence and agitation during endotracheal tube suctioning(ETS)and translate the key finding to clinical nursing practice.Methods:A quasi-experimental study of a two-group post-test design was conducted in adults admitted after surgery to a surgical intensive care unit(SICU)of the Second Affiliated Hospital of Kunming Medical University,Yunnan,China in 2018.Fifty-two adults who met the study eligibility were included after consent,26 in each group.Patients in the control group received usual care while patients in the intervention group received interventions to reduce agitation and pain-related ETS.The impacts of the intervention on the level of pain presence and agitation were measured at 5 measuring time points using the Chinese versions of Critical-Care Pain Observation Tool(CPOT)and Richmond Agitation Sedation Scale(RASS).Results:The level of pain presence in the intervention group statistically significantly decreased during,immediately after,and 5 min after suctioning.The level of agitation in the intervention group significantly decreased during and immediately after suctioning.Conclusions:The findings provide support for the positive pain-relieving effects of the evidence-informed pain-related ETS management interventions when compared with the usual ETS practice.The study interventions were sufficiently effective and safe to maintain patent airway clean and patent as standardized suctioning and helps pain relief.So,evidence-based pain-related ETS management intervention is worthy of recommending to utilize in SICU patients as well as other patients who required suctioning.It is worth noting that integrating pre-emptive analgesia prescription and administration with non-pharmacological intervention plays a critical role in achieving pain relief.

Effect of Closed Suctioning on Reducing the Contamination Released into the Environment

With the development of critical care medicine,mechanical ventilation is extensively used in the Intensive Care Units （ICUs）.Patients receiving invasive mechanical ventilation require sputum suctioning either regularly or as required to clear secretions from the airway and maintain airway patency.Accordingly,the requirement to disconnect the breathing loop tube for sputum suctioning is determined by the use of open or closed modes ofsuctioning.At present,the open suctioning system is most commonly used for clearing airway secretions.Since resistance to bacterial strains is rapidly increasing,the possibility of open suctioning in contaminating the ICU environment is often questioned,which was investigated in this study.

Exact solutions for magnetohydrodynamic nanofluids flow and heat transfer over a permeable axisymmetric radially stretching/shrinking sheet

We report on the magnetohydrodynamic impact on the axisymmetric flow of Al_(2)O_(3)/Cu nanoparticles suspended in H_(2)O past a stretched/shrinked sheet.With the use of partial differential equations and the corresponding thermophysical characteristics of nanoparticles,the physical flow process is illustrated.The resultant nonlinear system of partial differential equations is converted into a system of ordinary differential equations using the suitable similarity transformations.The transformed differential equations are solved analytically.Impacts of the magnetic parameter,solid volume fraction and stretching/shrinking parameter on momentum and temperature distribution have been analyzed and interpreted graphically.The skin friction and Nusselt number were also evaluated.In addition,existence of dual solution was deduced for the shrinking sheet and unique solution for the stretching one.Further,Al_(2)O_(3)/H_(2)O nanofluid flow has better thermal conductivity on comparing with Cu/H_(2)O nanofluid.Furthermore,it was found that the first solutions of the stream are stable and physically realizable,whereas those of the second ones are unstable.

Seismic stability of expansive soil slopes reinforced by anchor cables using a modified horizontal slice method

Earthquake-induced slope failures are common occurrences in engineering practice and pre-stressed anchor cables are an effective technique in maintaining slope stability,especially in areas that are prone to earthquakes.Furthermore,the soil at typical engineering sites also exhibit unsaturated features.Explicit considerations of these factors in slope stability estimations are crucial in producing accurate results.In this study,the seismic responses of expansive soil slopes stabilized by anchor cables is studied in the realm of kinematic limit analysis.A modified horizontal slice method is proposed to semi-analytically formulate the energy balance equation.An illustrative slope is studied to demonstrate the influences of suction,seismic excitations and anchor cables on the slope stability.The results indicate that the stabilizing effect of soil suction relates strongly to the seismic excitation and presents a sine shape as the seismic wave propagates.In higher and steeper slopes,the stabilizing effect of suction is more evident.The critical slip surface tends to be much more shallow as the seismic wave approaches the peak and vice versa.

Modelling the viscoplastic behaviour of Callovo-Oxfordian claystone with consideration of damage effect

In order to evaluate the performance of deep geological disposal of radioactive waste,an underground research laboratory(URL)was constructed by Andra in the Callovo-Oxfordian(COx)claystone formation at the Meuse/Haute-Marne(MHM).The construction of URL induced the excavation damage of host formations,and the ventilation in the galleries desaturated the host formation close to the gallery wall.Moreover,it is expected that the mechanical behaviour of COx claystone is time-dependent.This study presents a constitutive model developed to describe the viscoplastic behaviour of unsaturated and damaged COx claystone.In this model,the unsaturation effect is considered by adopting the Bishop effective stress and the van Genuchten(VG)water retention model.In terms of the viscoplastic behaviour,the nonstationary flow surface(NSFS)theory for unsaturated soils is used with consideration of the coupled effects of strain rate and suction on the yield stress.A progressive hardening law is adopted.Meanwhile,a non-associated flow rule is used,which is similar to that in Barcelona basic model(BBM).In addition,to describe the damage effect induced by suction change and viscoplastic loading,a damage function is defined based on the crack volume proportion.This damage function contains two variables:unsaturated effective stress and viscoplastic volumetric strain,with the related parameters determined based on the mercury intrusion porosimetry(MIP)tests.For the model validation,different tests on COx claystone under different loading paths are simulated.Comparisons between experimental and simulated results indicated that the present model is able to well describe the viscoplastic behaviour of damaged COx claystone,including swelling/shrinkage,triaxial extension and compression,and triaxial creep.

砂土中长径比对三筒基础水平承载特性的影响

The tripod foundation(TF)is a prevalent foundation configuration in contemporary engineering practices.In comparison to a single pile,TF comprised interconnected individual piles,resulting in enhanced bearing capacity and stability.A physical model test was conducted within a sandy soil foundation,systematically varying the length-to-diameter ratio of the TF.The investigation aimed to comprehend the impact of altering the height of the central bucket on the historical horizontal bearing capacity of the foundation in saturated sand.Additionally,the study scrutinized the historical consequences of soil pressure and pore water pressure surrounding the bucket throughout the loading process.The historical findings revealed a significant enhancement in the horizontal bearing capacity of the TF under undrained conditions.When subjected to a historical horizontal loading angle of 0°for a single pile,the multi-bucket foundation exhibited superior historical bearing capacity compared to a single-pile foundation experiencing a historical loading angle of 180°under pulling conditions.With each historical increment in bucket height from 150 mm to 350 mm in 100 mm intervals,the historical horizontal bearing capacity of the TF exhibited an approximately 75%increase relative to the 150 mm bucket height,indicating a proportional relationship.Importantly,the historical internal pore water pressure within the bucket foundation remained unaffected by drainage conditions during loading.Conversely,undrained conditions led to a historical elevation in pore water pressure at the lower side of the pressure bucket.Consequently,in practical engineering applications,the optimization of the historical bearing efficacy of the TF necessitated the historical closure of the valve atop the foundation to sustain internal negative pressure within the bucket.This historical measure served to augment the historical horizontal bearing capacity.Simultaneously,historical external loads,such as wind,waves,and currents,were directed towards any individual bucket within the TF for optimal historical performance.

Investigation on microstructure evolution of clayey soils: A review focusing on wetting/drying process

Variability in moisture content is a common condition in natural soils.It influences soil properties significantly.A comprehensive understanding of the evolution of soil microstructure in wetting/drying process is of great significance for interpretation of soil macro hydro-mechanical behavior.In this review paper,methods that are commonly used to study soil microstructure are summarized.Among them are scanning electron microscope(SEM),environmental SEM(ESEM),mercury intrusion porosimetry(MIP)and computed tomography(CT)technology.Moreover,progress in research on the soil microstructure evolution during drying,wetting and wetting/drying cycles is summarized based on reviews of a large body of research papers published in the past several decades.Soils compacted on the wet side of op-timum water content generally have a matrix-type structure with a monomodal pore size distribution(PSD),whereas soils compacted on the dry side of optimum water content display an aggregate structure that exhibits bimodal PSD.During drying,decrease in soil volume is mainly caused by the shrinkage of inter-aggregate pores.During wetting,both the intra-and inter-aggregate pores increase gradually in number and sizes.Changes in the characteristics of the soil pore structure significantly depend on stress state as the soil is subjected to wetting.During wetting/drying cycles,soil structural change is not completely reversible,and the generated cumulative swelling/shrinkage deformation mainly derives from macro-pores.Furthermore,based on this analysis and identified research needs,some important areas of research focus are proposed for future work.These areas include innovative methods of sample preparation,new observation techniques,fast quantitative analysis of soil structure,integration of microstructural parameters into macro-mechanical models,and soil microstructure evolution charac-teristics under multi-field coupled conditions.

Clinical application of flexible ureteroscopic sheath with controllable intraluminal pressure in treating ureteral stones

Objective:The purpose of the study was to assess the clinical efficacy and safety of a combined perfusion suction platform with pressure feedback control function and an ureteroscopic suction sheath that can measure the ureteropelvic pressure in implementing lithotripsies.Methods:Fifty-two patients who underwent lithotripsy under intelligent monitoring of ureteral intraluminal pressure from June 2016 to January 2018 were retrospectively recruited.The inclusion standard was stone diameter>1.5 cm but<2.5 cm.After the 12/14 Fr suction sheath was placed,manometer interface and suction interface of the sheath were connected to the platform via the pressure sensor and suction tube,respectively.The ureteroscope was connected to the platform perfusion pump,and the crushed stones were aspirated out under negative pressure.Results:According to the location of the stone,21(40.4%)cases were classified as upper ureteral stones,19(36.5%)were midureteral stones,and 12(23.1%)were lower ureteral stones.Forty-seven patients underwent successful primary sheath placement and lithotripsy with a mean operative time of 34.5(standard deviation 18.3)min.Retrograde stone migration did not occur.There were eight patients with hematuria postoperatively.Serious complication was 1.9% with one case of ureteral perforation.Stone clearance was 95.7% at Day 1e2 postoperatively,and 100% at Day 30 postoperatively.Conclusion:Ureteroscopic lithotripsy with intelligent pressure control using our device improved the efficiency of the lithotripsy and rate of stone clearance.The safety of the operation can be ensured.It is worth popularization and application in clinical practice.

The Outcome of Posterior Spinal Fusion and Instrumentation of Adolescent Idiopathic Scoliosis without Wound Suction Drainage

Background: In spine surgery postoperative closed suction drainage is used to decrease the potential risks of wound hematoma formation, and reduces the risk of infection, cord compression and neurologic deficit. However, the efficacy of drains used for this purpose in adolescent idiopathic scoliosis is controversial. The purpose of this study is to evaluate outcomes of patients after posterior spinal fusion with instrumentation for adolescent idiopathic scoliosis without wound suction drainage. Methods: A total of 66 Patients who underwent posterior spinal fusion and instrumentation for the correction of Adolescent idiopathic scoliosis without the use of drain from January 2012 to January 2021 were included. Wound dehiscence, wound hematoma, infection, preoperative and postoperative hemoglobin levels and need for transfusion were described as frequency and mean values. Results: The average age was 15.06 years. Hospital stay was 2.2 days. Patients were followed-up over 50.21 months. There was no deep infection, wound hematoma. The difference between just postoperative and three days after operation hemoglobin levels was not significant and no need for transfusion. Only 3 (4.5%) cases with superficial skin infection and 4 (6%) cases with skin and Wound dehiscence were treated with dressing and antibiotics with full recovery. Conclusion: Without using drain for patients with idiopathic scoliosis who underwent posterior spinal fusion and instrumentation, no increase in blood loss, transfusion requirements, wound infection, skin dehiscence, and wound hematoma was observed.

Penetration Tests of Multi-Bucket Foundation in Sand for Offshore Wind Turbines

Suction foundations are generally installed with negative pressures to overcome the resistance of soils and complete the penetration,but excessive negative pressures are also avoided to cause seepage damages.In this paper,the model test method was used to analyze the movement characteristics of multi-bucket foundations in the process of sinking in sand,and the common calculation methods of sinking resistances are verified.The critical negative pressure corresponding to the seepage failure of foundation was determined under the action of increasing negative pressure step by step and the characteristics of soil failure were studied.The calculation formula of critical suction in sand was verified in application,and according to the test results,the value of seepage coefficient was modified,which provides an example for the study of suction foundation in sand soils.

Flow and heat transfer of a nanofluid through a porous medium due to stretching/shrinking sheet with suction,magnetic field and thermal radiation

This study investigates the suction and magnetic field effects on the two-dimensional nanofluid flow through a stretching/shrinking sheet at the stagnation point in the porous medium with thermal radiation.The governing partial differential equations(PDEs)are converted into ordinary differential equations(ODEs)using the similarity transformation.The resulting ODEs are then solved numerically by using the bvp4c solver in MATLAB software.It was found that dual solutions exist for the shrinking parameter values up to a certain range.The numerical results obtained are compared,and the comparison showed a good agreement with the existing results in the literature.The governing parameters’effect on the velocity,temperature and nanoparticle fraction fields as well as the skin friction coefficient,the local Nusselt number and the Sherwood number are represented graphically and analyzed.The variation of the velocity,temperature and concentration increase with the increase in the suction and magnetic field parameters.It seems that the thermal radiation effect has increased the local Sherwood number while the local Nusselt number is reduced with it.

Experimental and Theoretical Study on the Self-Weight Penetration Velocity of Suction Anchor Foundations in Sand

The application of the wellhead suction anchor in the second production test of natural gas hydrates(NGHs)in the South China Sea(SCS)was met with success.This design incorporates a central conductor guide pipe,which distinguishes it from traditional suction foundations.However,this addition resulted in a relatively high penetration resistance and a shallower penetration depth at the self-weight penetration stage.To mitigate this issue,the current study proposes an optimized design where the end of the suction foundation is sharpened.The installation characteristics of the traditional suction foundation and new suction foundation during self-weight penetration into sand are studied through laboratory tests and theoretical analysis.The flat and sharpened bottom shapes are considered in the traditional and new suction models.The effects of the initial penetration velocity on the initial penetration depth and soil plug and impact cavity characteristics are systematically studied.The results show that the self-weight penetration depth of the foundation with a sharpened bottom is 44.5%deeper than that of the foundation with a flat bottom.There are cavities around the foundation at the self-weight penetration stage,and the penetration depth is overestimated by 15%-30%.Finally,a model for predicting the penetration depth of the new suction foundation is proposed.

Resistance Factor of Caisson-Tip with Internal Fillet for Suction Caissons Penetrating into Clay

This paper presents failure mechanisms of the soil at the caisson-tip with fillet during suction-assisted penetration of suction caissons in undrained clay.Theoretical solutions of resistance factor N_c of the caisson-tip are obtained in terms of the caisson-tip geometry ratio of the flat section of the caisson-tip to the caisson wall thickness m/t and adhesion factorsα_i along inside of caisson wall andα_b at the base of the caisson-tip.It is indicated that the factor N_c increases with the increase of m/t,α_i and a_b.The resistance factors N_c for the rough base(α_b=1)are larger by 0.57than that for the smooth base(α_b=0).Besides,the factors N_c of caisson-tip with flat base(m=t)are larger by 1.14 than that with full internal fillet(m=0).The required suction to penetrate suction caissons with various fillets is obtained in terms of the force equilibrium in vertical direction.The finite element limit analysis and centrifuge model test results are used to verify the rationality of the presented failure mechanisms and theoretical predictions.

Effects of solar radiation and fine roots on suction of Amorpha fruticose-vegetated soil

The thickness of shallow landslides is generally less than 2 m,which is of the same order of magnitude as the growth range of vegetation roots.Vegetation roots can improve the stability of shallow soil through mechanical and hydraulic effects.Therefore,the landslide process is closely related to the plant roots growing on the slope surface.Plant roots play a dominant role in the regulation of soil suction through solar radiation induced transpiration.However,little is known about the correlation between cumulative solar radiation and soil suction.Moreover,the specific effects of fine roots on the suction distribution are not clear in most previous studies.In this study,a vegetated soil of a drought-tolerant and water-tolerant shrub,namely Amorpha fruticose,was adopted.The suction and volumetric water content of bare and vegetated soils were monitored under natural conditions for 4 months.The results demonstrate that there is a nearly linear relationship between cumulative solar radiation and suction ranging from zero to 100 kPa.Regarding the modeling of the soil-plant-atmosphere interactions,this relationship could serve a significant role in calculating the root water uptake under given solar radiation conditions.In addition,higher suctions were observed at the lower layer of the vegetated soil than those at the middle layer,which is different from the results of vegetated soil from previous investigations.This is due to the fact that the root area index(RAI)of fine roots at the lower layer is twice that of the middle layer.Importantly,the higher concentration of fine roots at the lower layer of vegetated soil sample resembles the root distribution of shrub near the soil-bedrock interface on shallow bedrock landslides.The fine roots would increase soil suction through transpiration,and hence reduce the permeability and increase shear strength of landslides.Eventually,these new findings serve as a preliminary step on the evaluation of the stability of this common type of landslides.

Research on the Critical Buckling Pressure of Bucket Foundations with Inner Compartments for Offshore Wind Turbines

In the process of suction penetration of bucket foundations with inner compartments for offshore wind turbines,most researches focus on soil seepage failure and soil plugs,while the buckling of foundations is rarely investigated.Therefore,theoretical calculation methods for critical buckling pressures of the skirt and bulkheads of the bucket foundation are first presented according to the stability theory of a cylindrical shell and the small deflection theory of a thin plate,respectively.Furthermore,two types of models with and without considering the skirt-soil interaction are developed for the calculation of critical buckling pressure of the bucket foundation.Taking a practical project as an example,theoretical and numerical methods are used to obtain the critical buckling pressures of a bucket foundation.In this work,the theoretical method and the finite element model considering the skirt-soil interaction for calculating the critical buckling pressure of bucket foundations are firstly proposed.The results can help to optimize the design process of offshore wind turbine foundations and improve the safety of offshore wind power systems.

Studies on Suction-Assisted Installation Behavior of Suction Caissons in Clay Under Various Undrained Shear Strengths

Suction caissons are widely used for anchoring floating platform and offshore wind turbines.Penetration of the suction caisson into the desired position under the combination of its self-weight and applied suction resulted from pumping out the encased water is integral to practical engineering.Model tests were carried out to investigate the suctionassisted installation of suction caissons in clay under various undrained shear strengths.It was found that there exists a critical penetration depth value.When the penetration depth is smaller than the critical value,the soil plug undrained shear strength is higher than intact clay(i.e.,clay prior to installation).However,when the penetration depth is greater than the critical penetration depth,the undrained shear strength of soil plug is lower than intact clay.The critical value decreases with the increasing consolidation time and undrained shear strength of clay.During suction-assisted installation,cracks occur around suction caissons.The installation way has little effect on the crack formation.The influence range(i.e.,the maximum distance between the crack and the suction caisson edge)was found to increase with the increasing friction coefficient of interface between the suction caisson wall and soil and decreases with the increasing soil undrained shear strength.In addition,the drained condition of the clay during installation is dominated by the caisson aspect ratio,the undrained shear strength and the friction coefficient between the caisson wall and clay.Equations to estimate the penetration resistance and the required suction to install the suction caisson are summarized.

Long-term decay of the water pressure in the osmotic tensiometer

Matric suction is an important state variable required for the assessment of unsaturated soil properties.Tensiometers are commonly used for direct matric suction measurement but have a limited measuring range up to 90 kPa due to the cavitation problem.Osmotic tensiometer(OT)can improve the measuring range of tensiometers by increasing the osmotic pressure of water to avoid the cavitation.However,the long-term water pressure decay that appeared in OTs caused a gradual decrease in their measuring range.In this study,crosslinked poly(acrylamide-co-acrylic acid)potassium salt(PAM-co-PAAK)was used for the preparation of OTs(five in total)to explore the mechanism of water pressure decay of OTs.The maximum water pressure in the OT versus the volume fraction of polymer filled in the OT was described based on the Flory-Huggins polymer theories and validated using WP4C dewpoint hygrometer.The long-term pressure decay of OT-1,OT-2,and OT-3 was observed for 130 d and constant pressures were found for OT-1 and OT-2,indicating that the pressure decay of OT was mainly caused by the stress relaxation of the polymer hydrogels,and standard linear solid(SLS)rheological model was appropriate to fit the decay data.For OT-1,OT-2 and OT-3,the theoretical osmotic pressure that was calculated based on the mass of retrieved polymer from OTs after 130-d pressure observation was higher than the actual osmotic pressure as observed,indicating that polymer leakage cannot explain the pressure decay of the OT.The ultravioletevisible(UVevisible)spectrophotometry examined the change in polymer concentrations in the water containers of OT-4 and OT-5 and demonstrated that there was no increase in polymer leakage during the period of pressure decay of OT-4 and OT-5.As a result,the pressure decay of OT was not caused by polymer leakage.The results of this research suggested that the viscoelastic properties of polymers should be taken into consideration in further OT development.

Microstructure characteristics and thermodynamic properties of A357-SiCp/A357 layered composites prepared by semi-solid vacuum stirring suction casting

A357-SiCp/A357 layered composites were prepared using a semi-solid vacuum stirring suction casting method.The microstructures,mechanical properties,and thermal conductivities of the composites fabricated under different suction casting processes were compared.Additionally,the microstructural evolution characteristics and performance enhancement mechanism of the A357-SiCp/A357 layered composites were discussed.The results demonstrate that suction casting at 610°C with a low solid phase ratio can significantly enhance the material density and reduce the agglomeration of SiCp.The A357-SiC_(p)/A357 interface is clear and straight with good bonding.With an increase in the suction casting temperature,the bending resistance and thermal conductivity of the A357-SiC_(p)/A357 layered composites exhibit a trend of significantly increase at first and then slowly decrease owing to casting defects,interface bonding,and SiCp distribution.Compared with SiCp/A357 composites,the bending strength,deflection,and thermal conductivity of the A357-SiCp/A357 layered composites increase from 257 MPa,1.07 mm,and 155.72 W·(m·K)^(-1) to 298 MPa,2.1 mm,and 169.86 W·(m·K)^(-1),respectively.This study provides a reference for improving the rheological casting of aluminum matrix layered composites.

Lateral bearing characteristics of subsea wellhead assembly in the hydrate trial production engineering

Conductor and suction anchor are the key equipment providing bearing capacity in the field of deep-water drilling or offshore engineering,which have the advantages of high operation efficiency and short construction period.In order to drill a horizontal well in the shallow hydrate reservoir in the deep water,the suction anchor wellhead assembly is employed to undertake the main vertical bearing capacity in the second round of hydrate trial production project,so as to reduce the conductor running depth and heighten the kick-off point position.However,the deformation law of the deep-water suction anchor wellhead assembly under the moving load of the riser is not clear,and it is necessary to understand the lateral bearing characteristics to guide the design of its structural scheme.Based on 3D solid finite element method,the solid finite element model of the suction anchor wellhead assembly is established.In the model,the seabed soil is divided into seven layers,the contact between the wellhead assembly and the soil is simulated,and the vertical load and bending moment are applied to the wellhead node to simulate the riser movement when working in the deep water.The lateral bearing stability of conventional wellhead assembly and suction anchor wellhead assembly under the influence of wellhead load is discussed.The analysis results show that the bending moment is the main factor affecting the lateral deformation of the wellhead string;the anti-bending performance from increasing the outer conductor diameter is better than that from increasing the conductor wall thickness;for the subsea wellhead,the suction anchor obviously improves the lateral bearing capacity and reduces the lateral deformation.The conduct of the suction anchor wellhead assembly still needs to be lowered to a certain depth that below the maximum disturbed depth to ensure the lateral bearing stability,Thus,a method for the minimum conductor running depth for the suction anchor wellhead assembly is developed.The field implementations show that compared with the first round of hydrate trial production project,the conductor running depth is increased by 9.42 m,and there is no risk of wellhead overturning during the trial production.The method for determining the minimum conductor running depth in this paper is feasible and will still play an important role in the subsequent hydrate exploration and development.

Clinical Observation of Disposal Uterine Cavity Observation and Suction Surgery System on Terminating Pregnancy in Very Early Pregnancy

Objective: To compare the clinical effects of uterine cavity observation and suction surgery system with ultrasound guided induced abortion in very early pregnancy induced abortion surgery. Method: Select 80 patients who requested termination of pregnancy due to early pregnancy from August 2022 to April 2023, and analyze the data. 40 patients who underwent ultrasound-guided induced abortion to terminate pregnancy were included in the control group, and 40 patients who underwent uterine cavity observation surgery to terminate pregnancy were included in the observation group. Compare the surgical time, number of times the straw enters the uterine cavity, incidence of complications, and menstrual recovery time between the two groups. Results: There was no statistically significant difference in the surgical time between the observation group and the control group, but the number of times negative pressure straws entered the uterine cavity and the incidence of surgical complications in the observation group were significantly lower than those in the control group (P Conclusion: Applying the uterine cavity observation and suction surgical system to terminate pregnancy in very early pregnancy has the advantages of minimal damage to the uterus and low incidence of surgical complications, greatly protecting the patient’s fertility.