Condition 1: Respiratory failure. Condition 2: Heart failure. Respiratory failure, unspecified Heart failure, unspecified
Conditions
Interventions
Intervention 1: Intervention group: For the intervention group, in addition to routine care, it will perform passive walking exercises. The passive walking method is repeated 5 times a week for 2 week
Second stage: Flexion-extension of the left thigh is practiced similarly to the right thigh
Runs 30 times per minute for 10 minutes
Step 4: According to the third step, flexion-knee extension and dorsi-plantar flexion of the left ankle are practiced
The researcher goes to the intensive care unit and on the patient's bed, performs this procedure for 2 weeks (5 sessions per week) while the patient is lying down and about 30 degrees above the head.
Sponsors
Kermanshah University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: At least 18 years old Connecting to a mechanical ventilation that is at least 24 hours old Hemodynamic and cardiac stability Confirmation of the treating physician that the patient is not prohibited from performing the protocol Obtaining written consent from the patient's legal guardian
Exclusion criteria
Exclusion criteria: Increasing of intracranial pressure Having a history of previous or rapidly growing neuromuscular disease Spinal cord injury Cardiopulmonary arrest Having fractures in the pelvis and lower limbs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Average shock index. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Shock Index=(Heart Rate)/(Systolic Blood Pressure)- Physiological indicators(Cardiorespiratory monitoring).;Average of mean arterial pressure. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Mean arterial pressure = (systole + 2 diastole) / 3 _ Physiological indicators(pressure indicator).;Average airway resistance. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Airway resistance= tail end wedge pressure - alveolar_ ventilator pressure_ ventilator.;Average compliance. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Compliance = volume change / pressure change_ ventilator.;Average relative arterial oxygen pressure to percentage of tail oxygen. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: PaO2 / FiO2=Relative arterial oxygen pressure / percentage of tail oxygen - a tool for measuring _Physiological indicators(Cardiorespiratory monitoring).;Average peak inspiratory pressure. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: ventilator.;Average systolic and diastolic blood pressure. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Physiological indicators(pressure indicator).;Average heart rate. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Physiological indicators(Cardiorespiratory monitoring).;Average respiration rate. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Physiological indicators(Cardiorespiratory monitoring).;Average percentage of peripheral blood oxygen saturation. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Physiological indicat | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactYosra Karimi
Kermanshah University of Medical Sciences
Outcome results
None listed