Coma, unspecified. Unspecified coma
Conditions
Interventions
Intervention group: Intervention on 35 patients by single-group method Which will have a tracheal tube under mechanical ventilation Each patient is subjected to suction for 4 times, initially with a c
Sponsors
Yasouj University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Minimum age 18 and maximum 65 years Having an endotracheal tube and connecting to fixed volume ventilator (SIMV-A / C) The patient should be admitted at least 24 hours before the intervention in the intensive care unit and under mechanical ventilation and has an endotracheal tube with diameter of 7.5. Stable hemodynamic status( Medium arterial pressure between 60-110 mm-Hg -Hypertension is more than 90 and less than 140- And diastolic pressure of less than 100 mm Hg-Heart rate less than 100 and more than 60 beats per minute -And oxygen saturation of arterial blood more than 90%) Have a score of -2 to -5 based on the Richmond Agitation Sedation Scale
Exclusion criteria
Exclusion criteria: Having respiratory illnesses like asthma, emphysema,COPD, ARDS diagnosed by expert physician The use of positive inotropic drugs, such as dopamine and dobutamine Severe cardiovascular and pulmonary failure High intracranial pressure Having a score (-1 to 4+) based on Richmond's Scale Having blood coagulation disorder and thrombocytopenia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemodynamic parameters. Timepoint: Immediately before - immediately - 10 and 20 minutes after the trachea suction. Method of measurement: Central Monitor device.;Respiratory parameters. Timepoint: Immediately before, immediately, 10 and 20 minutes after the trachea suction. Method of measurement: Ventilator machine and computational formula. | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate. Timepoint: Immediately before , immediately , 10 and 20 minutes after the trachea suction. Method of measurement: central Monitor device.;???? ??? ??????. Timepoint: Immediately before - immediately - 10 and 20 minutes after the trachea suction. Method of measurement: Central Monitor device.;Diastolic blood pressure. Timepoint: Immediately before - immediately - 10 and 20 minutes after the trachea suction. Method of measurement: Central Monitor device.;Median arterial pressure. Timepoint: Immediately before - immediately - 10 and 20 minutes after the trachea suction. Method of measurement: Central Monitor device.;Arterial oxygen saturation. Timepoint: Immediately before - immediately - 10 and 20 minutes after the trachea suction. Method of measurement: Central Monitor device.;Airway resistance. Timepoint: Immediately before ,immediately ,10 and 20 minutes after the trachea suction. Method of measurement: Computational formula.;Dynamic compilation. Timepoint: Immediately before ,immediately ,10 and 20 minutes after the trachea suction. Method of measurement: Computational formula.;Maximum airway pressure. Timepoint: Immediately before ,immediately ,10 and 20 minutes after the trachea suction. Method of measurement: Ventilator Bennet 840.;Plato Press. Timepoint: Immediately before , immediately , 10 and 20 minutes after the trachea suction. Method of measurement: Ventilator Bennet 840.;Expiratory tidal volume. Timepoint: Immediately before ,immediately , 10 and 20 minutes after the trachea suction. Method of measurement: Ventilator Bennet 840. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Mohsen Salari
Yasouj University of Medical Sciences
Outcome results
None listed