Elderly patients treated with mechanical ventilation
Conditions
Interventions
Intervention group:1. One day before the operation, issue the "offline extubation training manual", one-on-one guidance
2.import the active cycle respiratory technology audio into the music player, so that the patient can feel the audio and train the respiratory rhythm. According to the patients own preferences, select
Control groups:The routine method of deconditioning in our department was used, i.e., the head of the bed was elevated by 30°, and 3 liters of oxygen per minute were administered via endotracheal intu
Sponsors
General Hospital of the Central Theater of Operations of the Chinese People's Liberation Army
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Age >=60 years; 2.Those who met the indications for mechanical ventilation; 3.Mallampati airway classification I-II; 4.Those who had a score of 0 on the Rating Scale of Consciousness and Sedation (RASS); 5.Those who had a Sequential Organ Function Impairment Score (SOFA) <=2; 6.Those who had a score of 8-15 on the Acute Physiology and Chronic Health Score (APACHE II); 7.Those who had obtained informed consent at the time of preoperative counseling.
Exclusion criteria
Exclusion criteria: 1. Patients with hearing impairment and cognitive dysfunction who are unable to cooperate with the training; 2. Patients using inotropic drugs; 3. Patients with respiratory and circulatory failure; 4. Patients with myasthenia gravis; 5. Patients with COPD and bronchial asthma; 6. Patients with multiple organ dysfunction syndrome (MODS); 7. Those who are undergoing other clinical trials.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Arterial blood gas analysis;Critical care Pain Observation Tool;Pain Behavioral Scale; | — |
Countries
China
Contacts
Public ContactZhu Yu
General Hospital of the Central Theater of Operations of the Chinese People's Liberation Army
Outcome results
None listed