Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: COMFORT B SCALE: The Comfort-B scale used in this study is a behavioral clinical scale that consists of six factors: alertness, calmness/agitation, respiratory response (or crying, used
scores between 11 and 23 indicate a moderately sedated patient
and scores between 24 and 30 indicate little sedation.
Control Intervention1: non protocolied sedation: Mechanically ventilated patients who are under non protocol directed sedation without the use of
Sponsors
pujitha vallabhaneni
Eligibility
Inclusion criteria
Inclusion criteria: Mechanically ventilated and admitted in PICU AIIMS JODHPUR for more than 24h. Parents or guardians giving informed written consent for enrollment of child into study.
Exclusion criteria
Exclusion criteria: 1. Patients with neurological disease as the COMFORT B scale cannot be used to determine the level of sedation. 2. Patients requiring deeper sedation for treatment as in pulmonary HTN. 3. Parents and guardians who are not willing to give consent for enrollment of child into study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of mechanical ventilation.Timepoint: End of hospital stay | — |
Secondary
| Measure | Time frame |
|---|---|
| amount of usage of various sedative drugs, the frequency of accidental extubation, reintubations, removal of an invasive line, incidence of VAP and pressure ulcers,tracheostomy, incidence of withdrawal symptoms using withdrawal assessment tool- version 1 (WAT 1) in patients on benzodiazepine (BZD) and opioid use, pain between the 2 groups using FLACC and NRS scale for children, PICU and Hospital length of stayTimepoint: End of stay in hospital. | — |
Countries
India
Contacts
Public ContactPujitha Vallabhaneni
AIIMS Jodhpur
Outcome results
None listed