patients with mechanical ventilation in ICU
Conditions
Interventions
Control group:According to the results of lung auscultation, X-ray, and CT examination, the control group was given a routine airway clearance program in the ICU, including nebulization, postural drai
Intervention group:On a control basis, respiratory therapists were assessed daily using an EIT. The airway clearance protocol is given according to the results of regional lung ventilation, and then t
Sponsors
Hunan Provincial People's Hospital Respiratory Therapy Specialist
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: (1) Age= 18 years old; (2) hemodynamically stable; (3) Patients with artificial airway and airway clearance disorders after mechanical ventilation: sputum retention indications such as sputum sounds, ineffective cough (cough score 30mL/day, decreased oxygen saturation, cyanosis, dyspnea and other indications of sputum retention; (4) Informed consent of the patient's family.
Exclusion criteria
Exclusion criteria: (1) There are contraindications to the treatment of airway clearance techniques, such as: accompanied by severe cardiopulmonary insufficiency; Chest skin breakage, patients with chest subcutaneous infection, chest fracture; Pregnant patients; unstable venous thrombosis or pulmonary embolism, undrained pneumothorax; (2) Inability to use EIT technology, such as: chest skin breakage, chest subcutaneous infection patients, chest fractures; Severe behavioral disorder, agitation and uncooperative patients; implantation of a pacemaker; ?BMI50.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PaO2/FIO2; clearance;Change in mean end-expiratory pulmonary impedance variability; | — |
Countries
China
Contacts
Public ContactWEN HUI
Hunan Provincial People's Hospital
Outcome results
None listed