Head trauma. Multiple injuries of head
Conditions
Interventions
First the patients will be placed in a neutral position (° angle to the head of the bed and head towards the body) for initiating data collection. Tracheal tube cuff pressure in end-expiratory pause
left lateral position with a 30° angle to the head of the bed and head towards the body, right lateral position with a 30° angle to the head of the bed and head towards the body, semi-upright position
Sponsors
Vice chancellor for research, Qazvin University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: The included group will be 18-65 years old of both genders; They should not have intubated more than 72 hours; patients should be in a lull level of -5 according to Richmond scale; Patients should be in a level of 3-4 according to behavioral pain scale; Intra tube suction has not done through 30 min before measurement of cuff pressure; Intubation should be done using low pressure and high volume tracheal tubes made by the same factory. Exclusion criteria: Pregnancy; presence of any injury or movement limitation due to any reason in neck vertebrae; short neck confirmed by physical examination done by physician; spinal injuries; tracheal anomalies (tracheomalacia) confirmed by physician; Cushing's triad (heart rate less than 60 beats per minute; breathing rate less than 8 per minute; systolic blood pressure greater than 140 mmhg); multiple trauma patients; difficult intubation according to physician report; arm perimeter greater than 32 cm (BMI>30)? Temperature greater than 38.3 and less than 35 ° C? respiratory rate greater than 35 times per minute? heart rate greater than 100 beats per minute? systolic blood pressure less than 90 mm Hg? mean arterial pressure below 60 mmHg
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Endotracheal tube cuff pressure. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Manometer. | — |
Secondary
| Measure | Time frame |
|---|---|
| Temperature. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Thermometer.;Blood pressure. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Sphygmomanometer.;Heart rate. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Enumeration.;Respiritory rate. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Enumeration.;Mean airway pressure. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Mechanical ventilation device. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAzam Mohammadi Alamouti
Qazvin University of Medical Sciences
Outcome results
None listed