atelectasis. Pulmonary collapse
Conditions
Interventions
Intervention 1: Intervention group:after transferring the patient from operation room to ICU ,after stabilization of patient's hemodynamic condition ,air leakage from endotracheal cuff will be examine
Prevention
Intervention group:after transferring the patient from operation room to ICU ,after stabilization of patient's hemodynamic condition ,air leakage from endotracheal cuff will be examined and resolved b
Control group:Intervention group:after transferring the patient from operation room to ICU ,after stabilization of patient's hemodynamic condition ,air leakage from endotracheal cuff will be examined
Sponsors
Vice Chancellor for Research Mazandaran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Inclusion criteria: age above 18 ; normal BMI (18.5-24.9) ; intubated through endotracheal tube (orotracheal) ;patients under mechanical ventilation and open heart surgery and CABG; FEV1/FVC > 0.7 (based on spirometery);chest x ray (based on radiologist's diagnosis) and history and examination(by Heart anesthetist)not to mention to acute or chronic pulmonary disease; heart failure ; immunodeficiency ;absence of chronic pulmonary disease(COPD) ; asthma ;patients with severe valve failure ; laryngeal disease or laryngeal anomalies. Exclusion criteria: Patients with difficult intubation in 2 or more than 2 try ; reoperation due to post surgery critical condition ( more than 1000 cc drainage ; heart tamponade ) ; history of Pulmonary diseases in last 2 months.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Air leackage and atelectasis. Timepoint: 24 hours after the intervention. Method of measurement: auscultation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Endotracheal cuff pressure with volume-time curve technique. Timepoint: after admition to ICU and hemodynamic stabilization and temperture 35.5 , 37 with 20 minute interval. Method of measurement: Pressure gauge manometer.;Endotracheal cuff pressure without any audible sound of air leakkage technique. Timepoint: after admition to ICU and hemodynamic stabilization and temperture 35.5 , 37 with 20 minute interval. Method of measurement: Pressure gauge manometer.;Arterial oxygen pressure. Timepoint: 20 minute after extubation. Method of measurement: Arterial blood gas test(ABG).;Cross clamp time. Timepoint: during surgery. Method of measurement: Clock Gauge.;Body tempreture. Timepoint: after admition to ICU and 3 times after surgery in 20 minute intervals. Method of measurement: termometer. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSaeed Jafari
Mazandaran University of Medical Sciences - School of Nursing and Midwifery Nusseibeh
Outcome results
None listed