Post CABG delirium. Delirium due to known physiological condition
Conditions
Interventions
Intervention 1: Intervention group: We play 9 tracks of nature sound which their names areA Deer in the distance by Stuart Jones ? Cool Forest Rain ? A calming cadence ? Driftwood ? Calm the mind ?
Sponsors
Esfahan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
No minimum to 74 Years
Inclusion criteria
Inclusion criteria: Post CABG patients Patients who assent to participation in the study Patients who their auditory status are confirmed by Whisper test Patients under 75 years old
Exclusion criteria
Exclusion criteria: Patients with history of CVA Patients who have prescribed Ketamine or Midazolam in operation room or Benzodiazepine , Hallopridol or Propofol in ICU Patients who have mean perfusion pressure less than 70 mmHg during operation Patients who have more than 88 minutes clamp time Patients who have more than 142 minutes cardiopulmonary pomp during operation Patients who have second operation during CABG according to operation report Patients who have drug addiction Patients who have positive CAM-ICU after operation room Patients who have history of renal failure or cirrhosis Patients with anti-psychotic or psychedelic drugs history Patients who are alcoholism Patients with Major Depression disorder who have acceptable Beck Depression Inventory score Patients with history of Dementia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Delirium incidence according to CAM-ICU test result. Timepoint: Checking delirium CAM-ICU test before intervention and at 3 and 9 p.m. daily. Method of measurement: Confusion Assessment Method for the Intensive Care Unite score. | — |
Secondary
| Measure | Time frame |
|---|---|
| RASS core mean before and after intervention. Timepoint: Before intervention and at 3 and 9 p.m. dailykl. Method of measurement: Richmond agitation and sedation scale.;Difference in ICU hospitalization mean time in both groups. Timepoint: At the end of ICU hospitalization. Method of measurement: ICU hospitalization hours.;Difference in vital signs mean between two groups. Timepoint: In period of 3 p.m. to 8 p.m. and 9 p.m. to 2 p.m. Method of measurement: Heart rate, respiratory rate and blood pressure.;Difference in ABG parameters means in both groups. Timepoint: In period of 3 p.m. to 8 p.m. and 9 p.m. to 2 p.m. Method of measurement: Chemical results for pco2( partial pressure of carbon dioxide), po2 (partial pressure of oxygen), ph( potential hydrogen) and base excess. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFatemeh Esfahanian
Esfahan University of Medical Sciences
Outcome results
None listed