Patients with impaired respiratory function in ICU. Other diseases of the respiratory system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria : GCS = 9 ; Patient intubated for past 24 hours; Are on ventilation with SIMV ?PSV ?CPAP or BIPAP mode; Hemoglobin = 8 mg/dl ; Without malformation or grazes in pressure points ; Have no psychiatric illness ; Have no neuromuscular illness ; Have no active heart disease ; Have no neurologic disorder that affect on respiratory ; Are not taking any psychiatric agent ; Are not taking any neuromuscular blocker agent ; Are not taking sedative during past 4 hours Exclusion criteria :Patient with no cooperation to end of study ; Weaning of mechanical ventilation ; Death of patient during the study ; Discharge from hospital
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Respiratory parameter include expiratory tidal volume. Timepoint: Baseline , before, immediately after intervention, 15 minutes, every 30 minutes to 2 hours after the intervention in the morning and evening for two days and then one day after the last intervention. Method of measurement: Ventilator system.;Anxiety. Timepoint: Baseline , before, immediately after intervention and 2 hours after intervention in the morning and evening for two days and then one day after the last intervention . Method of measurement: Faces anxiety scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood gases include Arterial blood O2 ( Pao2 ). Timepoint: Baseline and 2 times per day during the intervention and follow-up. Method of measurement: ABG system.;Arterial blood CO2. Timepoint: Baseline and 2 times per day during the intervention and follow-up. Method of measurement: ABG system.;Arterial blood HCO3-. Timepoint: Baseline and 2 times per day during the intervention and follow-up. Method of measurement: ABG system.;Blood PH. Timepoint: Baseline and 2 times per day during the intervention and follow-up. Method of measurement: ABG system.;Respiratory parameters include Dynamic compliance. Timepoint: Baseline , before, immediately after intervention, 15 minutes, every 30 minutes to 2 hours after the intervention in the morning and evening for two days and then one day after the last intervention. Method of measurement: Ventilator system.;Resistance. Timepoint: Baseline , before, immediately after intervention, 15 minutes, every 30 minutes to 2 hours after the intervention in the morning and evening for two days and then one day after the last intervention. Method of measurement: Ventilator system.;Oxygen saturation of arterial blood ( SPo2 ). Timepoint: Baseline , before, immediately after intervention and 2 hours after intervention in the morning and evening for two days and then one day after the last intervention . Method of measurement: Pulsoximeter.;Rapid shallow breathing index. Timepoint: Baseline , before, immediately after intervention, 15 minutes, every 30 minutes to 2 hours after the intervention in the morning and evening for two days and then one day after the last intervention. Method of measurement: Ventilator system.;Respiratory rate. Timepoint: Baseline , before, immediately after intervention, 15 minutes, every 30 minutes to 2 hours after the intervention in the morning and evening for two days and then one day after the last intervention. Method of measurement: Ventilator system.;Minute ventilation. Timepoint: Baseline , before, immedia | — |
Countries
Iran (Islamic Republic of)
Contacts
School of Nursing and Midwifery of Tehran University of Medical Sciences