Aspiration pneumonia. Aspiration pneumonia (due to): NOS food (regurgitated) gastric secretions milk vomit
Conditions
Interventions
Intervention 1: In the intervention group, designed care plan to reduce the incidence of aspiration which is composed of four parts, in the intervention days (three days from the second day after intu
The control group receives routine care in the prevention of VAP and incidence of aspiration.
In the intervention group, designed care plan to reduce the incidence of aspiration which is composed of four parts, in the intervention days (three days from the second day after intubation) will be
Sponsors
Zahedan University of Medical Sciences, Vice chancellor for research
Eligibility
Sex/Gender
All
Age
16 Years to 65 Years
Inclusion criteria
Inclusion criteria: The inclusion criteria of the study were: being 16–65 years of age? the second day of intubation? the MCPIS score more than 5 or equal? the patient dosnt have pneumonia, ARDA, COPD? using only standard formulas for feeding? monitoring with mechanical ventilation for at least 96 h. The patients with tracheostomy? abdominal wound? surgery? pregnancy and radiotherapy? ileus? diarrhea? and those using prokinetic agents? remove the NGT? changing the endothracheal tube were excluded from the study.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ventilator associated pneumonia. Timepoint: Before intervention and at the end of intervention. Method of measurement: In this study, pneumonia means the MCPIS score more than 5. The highest score is 10. If patients earn more than 5 point, the diagnosis of VAP is pretended.;Aspirations. Timepoint: At the intervention days, before morning and evening massage. Method of measurement: In this study, the means of aspiration is the number of oral discharge PH that measures by test tapes. It measures each day before massage. The score less than 6 represents the aspiration.;Gastric residual volume. Timepoint: in intervention days, at morning and evening, before gavage. Method of measurement: it means the volume of gastric content that measure by syring before each gavage. | — |
Secondary
| Measure | Time frame |
|---|---|
| Age. Timepoint: before intervention. Method of measurement: based on patient documented data.;Sex. Timepoint: before intervention. Method of measurement: according to phenotype.;History of ICU addmition. Timepoint: before intervention. Method of measurement: Patient recent hospitalization in ICU Prior to his current hospitalization.;Underlying disease. Timepoint: before intervention. Method of measurement: medical disease such as heart, renal, neurologic, gastric, and Pulmonary ecsept for COPD, ARDS, and pneumonia.;Volume of nutritional solution. Timepoint: before gavage within interventional days. Method of measurement: The nutritional solution volume that is prescribed by doctors.;Times of endotracheal suctioning. Timepoint: in each shift within interventional days. Method of measurement: The number of times that endotracheal suctioning can be performed by a nurse per shift.;The patient's level of consciousness. Timepoint: During the intervention days, each hour. Method of measurement: GCS score of the patient in accordance with standard scale of Glasgow is controlled by a nurse every hour.;Level of sedation. Timepoint: in each shift within interventional days. Method of measurement: RASS is a scale score that is measured by the nurse in each shift.;The size of the endotracheal tube. Timepoint: before intervention. Method of measurement: Internal diameter of endotracheal tube.;Endotracheal tube cuff pressure. Timepoint: in each shift within interventional days. Method of measurement: Endotracheal tube cuff pressure measured by the nurse on each shift by a manometer for measurement. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactParastoo Mohamadi
Nursing and Midwifery Faculty
Outcome results
None listed