Intra Abdominal Presure.
Conditions
Interventions
Control group: This study is an interventional study of the type before and after.In such a way that each person in different states of the body will be used as a witness for himself..
Sponsors
Oroumia University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Age > 18 years old Mechanically ventilated patient Have indwelling urine catheter in place Scor of Critical care Pain Observation Tool =2 Length of ICU stays = 48 hours
Exclusion criteria
Exclusion criteria: Unable to change position Norogenic bladder Bladder rupture Hematuria Heart failure and Pulmonary edema Pregnancy Excessive obesity Acute abdominal patients Probability of survival less than 24 hours
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intra Abdominal Pressure:The intra-abdominal pressure is a sustained pressure that lies inside the abdominal cavity. Timepoint: we will Measure inetra abdominal pressure in each of the different situations(15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) first time before changing the position of the patient in 0 degree head of bed, second time, 20 minute after changing position,and third tim, 20 minut after returning to 0 degree.interval among the interventions( put the patients in different positions of 15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) will be 2 hours. Method of measurement: Measuring Intera-vesical pressure by water manometer of central vein pressure measuring device. | — |
Secondary
| Measure | Time frame |
|---|---|
| Mean Arterial Pressure: It is the average amount of the systemic pressure with normal range of 70 to 105 mm Hg. Timepoint: we will Measure the Mean Arterial Pressure in each of the different situations(15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) first time before changing the position of the patient in 0 degree head of bed, second time, 20 minute after changing position,and third tim, 20 minut after returning to 0 degree.interval among the interventions( put the patients in different positions of 15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) will be 2 hours. Method of measurement: It will be measured by a monitor device attached to the patient.;Abdominal Perfusion Pressure:If the intra-abdominal pressure is lowered from the median arterial pressure, abdominal perfusion pressure will be obtained. In adults, it should be above 50 mm Hg to provide adequate ventricular perfusion. Timepoint: we will measure Abdominal Perfusion Pressure in each of the different situations(15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) first time before changing the position of the patient in 0 degree head of bed, second time, 20 minute after changing position,and third tim, 20 minut after returning to 0 degree.interval among the interventions( put the patients in different positions of 15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) will be 2 hours. Method of measurement: we will Calculate the Abdominal Perfusion Pressure with subtraction the mean arterial pressure measured by the monitor attached to the patient and intera abdominal pressure measured by water manometer.;Mean Airway Pressure:It is the pressure measured at the airway opening, averaged over the entire ventilatory cycle. Timepoint: we will measure the Mean Airway Pressure in | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactYusef Haghighi moghadam
Oroumia University of Medical Sciences
Outcome results
None listed