Severe condition
Conditions
Interventions
Test group:Nurses with critical ultrasound qualifications use the improved BLUE scheme to scan 10 chest areas on both sides, and dynamically adjust the intervention measures according to the "Chest Ph
Control group:Routine chest physical therapy (such as airway humidification, routine position drainage, hand tapping, etc.) is carried out according to chest X-ray/CT, lung auscultation and clinical o
Sponsors
The Fourth Hospital of Hebei Medical University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1 Check-in ICU for mechanical ventilation treatment, and the estimated invasive mechanical ventilation time is =48h; 2 Age >=18 years old; 3 There are no contraindications for chest physical therapy such as increased intracranial pressure, cervical or spinal instability fractures, large-area burns in the chest and abdomen, multiple fractures or trauma throughout the body, severe hemodynamic instability, acute hemorrhagic diseases, undrained pneumothorax, unstable deep vein thrombosis and pulmonary embolism; 4 Patients who need chest physical therapy; 5 Patients or authorized persons voluntarily participate in this study.
Exclusion criteria
Exclusion criteria: 1 Patients with mental disorders or cognitive dysfunction who cannot be treated; 2 Those who cannot perform ultrasound examination due to thoracic deformity, subcutaneous emphysema, wound dressing, etc.; 3 Patients with severe liver and kidney failure and immunosuppressive diseases; 4 Combined with neurological diseases that affect muscle strength.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mechanical ventilation time; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pulmonary ultrasound score;Clinical Pulmonary Infection Score;Oxygenation index;The amount of secretion;The ability to expel phlegm independently; | — |
Countries
China
Contacts
Public ContactZhang Xiaokun
The Fourth Hospital of Hebei Medical University
Outcome results
None listed