Condition 1: Pain. Condition 2: mucosal injury. Acute pain due to trauma Other and unspecified injuries of lung
Conditions
Interventions
Intervention 1: Intervention group: In this group, a Foley catheter with a maximum time of 10 to 15 seconds, a pressure of 100 to 120 mmHg in 12 sessions with a superficial depth and a maximum diamete
Sponsors
Zabol University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Having a tracheostomy tube for more than 24 hours and less than 14 days. Ventilation with a ventilator and inability to communicate verbally (to prevent distortion of the pain assessment score). No injury when placing the tracheostomy by the surgeon (based on the results of case reports and observation). Level of consciousness between 4 and 8 (determination of the level of consciousness is according to the routine and existing ICU sheets using the Glasgow Coma Scale). Age group of young and middle-aged people between 18 and 60 years. Not receiving sedatives, neuromuscular blocking and anti-inflammatory drugs. No severe maxillofacial injuries. No underlying diseases (bleeding disorders, coagulation problems. arrhythmia, dysrhythmia, sensory motor disorders, etc.). No severe pulmonary problems and diseases (pulmonary obstructive disease, respiratory distress syndrome, etc.). Need for suction throughout the day and night as needed from the first day and for a maximum of 3 days. Consent of the patient's first-degree relatives to participate in the study.
Exclusion criteria
Exclusion criteria: Transfer of the patient to another medical facility or home. Change in level of consciousness to less than 4 or more than 8 (based on the Glasgow Coma Scale). Removal of the patient's tracheostomy tube. End of ventilation with a ventilator. Deterioration of the patient's condition, such as severe instability of vital signs or new diagnosis of any disease that causes the disease in the study. Failure of the patient or first-degree relatives to continue participating in the study. Patients who do not require at least 12 suctioning sessions within 3 days. Death of the patient.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The average pain score, measured by the Behavioral Pain Assessment Scale, will then be compared in the two groups. Timepoint: Pain score measurement on twelve occasions after the start of the study and up to a maximum of 72 hours later. Method of measurement: Behavioral Pain Scale.;The incidence of mucosal damage, which is recorded according to the observation checklist, with a score of one if there is blood in the suction catheter and a score of zero if no blood is observed. Timepoint: Measurement of mucosal damage score after each tracheostomy tube suction session for twelve sessions after the start of the study and up to a maximum of 72 hours later. Method of measurement: Observational checklist for assessing mucosal injury. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactReza Shahriari
Zabol University of Medical Sciences
Outcome results
None listed