Patients on Mechanical Ventilation. Dependence on respirator
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Have written consent to participate in the research Age over 18 years The duration of stay in the ICU is more than 48 hours Duration of use of sedative and analgesics 48 hours and more... The duration of mechanical ventilation is 48 hours and more Endotracheal tube patient RASS score> _ -3 Apache score <20 The subgroup of pulmonary patients (COPD, ARDS, pneumonia, embolism, etc.)
Exclusion criteria
Exclusion criteria: History of epilepsy Disorders of the limb Neuromascular disease (myasthenia grave, muscular spastic atrophy, etc.) and a disease with neuromuscular complications (lead poisoning, etc.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Heart rate. Timepoint: The days of T0, T1, T3, T5, T7. Method of measurement: Monitoring Vital Signs(BED SIDE).;Mean arterial pressure. Timepoint: The days of T0, T1, T3, T5, T7. Method of measurement: blood pressure gauge.;Pulse pressure. Timepoint: The days of T0, T1, T3, T5, T7. Method of measurement: blood pressure gauge.;PaO2 / FiO2. Timepoint: The days of T0, T1, T3, T5, T7. Method of measurement: Arterial Blood Gas Test(ABG).;Delirium. Timepoint: The days of T0, T1, T3, T5, T7. Method of measurement: The Confusion Assessment Method (CAM)-ICU.;Risk of deep vein thrombosis. Timepoint: The days of T0, T1, T3, T5, T7. Method of measurement: Wells score.;Risk of Incidence pressure ulcers. Timepoint: The days of T0, T1, T3, T5, T7. Method of measurement: Conscious level-Mobility-Haemodynamics-Oxygenation-Nutrition Index (COMHON). | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of admission to ICU. Timepoint: Initially, at the time of discharge, the ICU (in both groups). Method of measurement: The number of days the patient is admitted to the ICU.;The length of hospitalization. Timepoint: At the beginning of the study and at the time of hospital discharge (in both groups). Method of measurement: The number of days the patient was hospitalized.;Mechanical ventilation time. Timepoint: At the beginning of the study and at the time of weaning from mechanical ventilation (in both groups). Method of measurement: The number of days the patient was under mechanical ventilation. | — |
Countries
Iran (Islamic Republic of)
Contacts
Mashhad University of Medical Sciences