Health Condition 1: J99- Respiratory disorders in diseasesclassified elsewhere
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)Patients who are spontaneously breathing or on non-invasive ventilatory support in intensive care unit (2) Patients extubated for more than 8 hours who were previously intubated (3) Patients showing radiographic changes of sputum retention, consolidation and pulmonary infiltrates (4) Patients who are above 18 years (5) Patient who consent to participate
Exclusion criteria
Exclusion criteria: (1) Patients who are hemodynamically unstable (2) Patients with untreated pneumothorax, emphysematous bullae, rib fractures etc (3) History of any recent major cardiac and neurosurgery (4) Patients who are tracheostomized during the ICU stay (5) Any neuro-musculoskeletal disorder that prevents them from performing the tests (6) Patients with cognitive impairment that prevents them from understanding the instructions (7) Patients who are agitated or sedated as assessed using Richmond Agitation Sedation Scale (RASS more than -1 or +1) (8) Participant who are not willing to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome/s(1)Lung function : Pulmonary function (FEV1, FVC) , Respiratory muscle strength (Maximal Inspiratory Pressure, Maximal Expiratory Pressure), Chest expansion (at three levels namely axilla, nipple and xiphisternum) Sputum quantity would be assessed by measuring the sputum volume. (2)Physical performance: Short Physical Performance Battery test score (3)Functional capacity : Repetitions in 30 seconds Sit to Stand test (4)Quality of Life: EQ 5D 3L questionnaire score Timepoint: At Baseline At 4 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| (1)Sarcopenia using SARC-calf scale. (2)Frailty using Fried Frailty Index. (3)ICU acquired weakness using Medical Research Council (MRC) sum score. Timepoint: At Baseline At 4 weeks | — |
Countries
India
Contacts
MGM College of Physiotherapy