Patients with impaired respiratory function in ICU. Other diseases of the respiratory system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Four score = 9 Richmond score from +2 to -2 PaO2 = 60 mmHg ? ABG: FiO2 = 40%? PaO2 = 60 mmHg, 25= RR) age over 18 being intubated during past 48 hours being on ventilation with SIMV and PSV mode Hemoglobin = 8 mg/dl Absence of malformation or grazes in pressure points Absence of psychiatric illness Absence of neuromuscular illness Absence of active heart disease Absence of neurologic disorder that affects respiratory not taking any psychiatric agent not taking any neuromuscular blocker agent not taking sedative during past 4 hours absence of coagulation disturbance (PTT=60)
Exclusion criteria
Exclusion criteria: Exclusion criteria :Patient with no cooperation to end of study ; Weaning of mechanical ventilation ; Death of patient during the study ; Daley of weaning process.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anxiety. Timepoint: before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: by Faces anxiety scale.;Agitation. Timepoint: before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: Richmond Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate. Timepoint: Before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: Monitoring system.;Respiratory rate. Timepoint: Before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: Ventilator system.;Oxygen saturation of arterial blood ( SPo2 ). Timepoint: Before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: Pulsoximeter.;Heart rate. Timepoint: Before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: Monitoring system.;Systolic Blood pressure. Timepoint: Before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: Monitoring system.;Diastolic blood pressure. Timepoint: Before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: Monitoring system.;Mean blood pressure. Timepoint: Before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: Monitoring system.;Tidal Volume. Timepoint: Before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: Monitoring system.;Minute Ventilation. Timepoint: Before intervention, immediately after intervention, under T-Piece, 20 min after T-Piece. Method of measurement: Monitoring system. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shahed University