Condition 1: agitation. Condition 2: delirium. Condition 3: pain. Restlessness and agitation Other delirium Pain, unspecified
Conditions
Interventions
Intervention 1: Patients in protocol group assessed for pain by NPS/BPS and and for agitation by RASS every one hour and assessed for delirium by CAM ICU every shift . Then patients treated pharmacolo
Treatment - Other
Treatment - Drugs
Patients in protocol group assessed for pain by NPS/BPS and and for agitation by RASS every one hour and assessed for delirium by CAM ICU every shift . Then patients treated pharmacologically and nonp
Patients in control group treated for pain, agitation and delirium as routine
Sponsors
Vice-Chancellor for Research, Shiraz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria : informed written consent; Age more than 18 years old Exclusion criteria :length of stay in ICU less than 48 hours; patients who expected to expire in less than 48 hours; use of paralyzing agents, psychiatric problems ; inability to move hands( cast, paralyzed hands, cord injery) , addiction
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ICU length of stay. Timepoint: total duration of stay in ICU. Method of measurement: check list. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of mechanical ventilation. Timepoint: every one hour. Method of measurement: check list.;Delirium. Timepoint: every shift( morning - evening - night. Method of measurement: CAM ICU check list.;Total amount of medication used to treat pain. Timepoint: every one hour. Method of measurement: check list.;Total amount of medication used to treat agitaton. Timepoint: every one hour. Method of measurement: check list.;Total amount of medication used to treat delirium. Timepoint: every one hour. Method of measurement: check list.;Agitation. Timepoint: every one hour. Method of measurement: Richmind Agitation Sedation Scale (RASS).;Ventilator- free days at day 28. Timepoint: every one hour. Method of measurement: check list.;Mortality rate. Timepoint: at the end of study. Method of measurement: check list.;Self extubation. Timepoint: every one hour. Method of measurement: check list.;Pain. Timepoint: every one hour. Method of measurement: Numeric Pain Scale(NPS)- Behavioral Pain Scale (BPS). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactParisa Mansoori
Shiraz University of Medical Sciences
Outcome results
None listed