Severe craniocerebral injury
Conditions
Interventions
Experimental group:CPT intervention was implemented based on the goal-oriented comprehensive nursing program evaluated by LUS
control group:All patients underwent LUS assessment monitoring and were treated with the conventional CPT care plan
Sponsors
The 904th Hospital of the Joint Logistic Support Force of the People's Liberation Army of China
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1.18 12 hours, gradual aggravation of consciousness disorder or recurrence of coma; There are significant changes in respiration, body temperature, pulse and blood pressure. Accompanied by significant positive neurological signs; Extensive cerebral contusion and laceration, extensive skull fractures, intracranial hematoma or brainstem injury occurred; 3. Glasgow Coma Scale (GCS) score: 3-8 points; 4. Hemodynamically stable, with mean arterial pressure > 65mmHg; 5. There are no contraindications for CPT (unstable fractures, bleeding and coagulation disorders, pneumothorax, poor cardiac function, special position requirements, etc.); 6. The patient himself/herself or his/her legal representative gave informed consent and voluntarily participated in the research.
Exclusion criteria
Exclusion criteria: 1.Acute hemorrhagic diseases, pulmonary embolism; 2. Thoracic deformity, severe injury to the chest and abdomen, incomplete skin on the chest, with wounds, drainage tubes and dressings covering; 3. Restrict postural diseases, etc; 4. Other patients with restricted lung ultrasound examinations.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lung ultrasound score;Clinical Pulmonary Infection Score (CPIS); | — |
Secondary
| Measure | Time frame |
|---|---|
| Oxygenation index;The incidence rate of lung infections;Mechanical ventilation duration;Length of stay in the ICU; | — |
Countries
China
Contacts
Public ContactShen Qiuyan
The 904th Hospital of the Joint Logistic Support Force of the People's Liberation Army of China
Outcome results
None listed