Pneumonia in mechanically ventilated patients.
Conditions
Interventions
Intervention 1: Control Group: Patients in the control group received only the routine hospital physiotherapy, which consisted of postural drainage, percussion, vibration, and coughing. These interven
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: ICU admitted patiens with at lest 18 years of age Confirmed pneumonia in chest x ray or positive sputum culture Intubated patients who are mechanically ventilated for at least 24 hours Presence of tracheal tube in patient's airway Absence of pneumothorax within a month prior to the study
Exclusion criteria
Exclusion criteria: Presence diaphragmatic hernia Patients with a history of thorasic surgery Patients with recent history of upper GI surgery Patients with primary neuromuscular disease Patients with pneumothorax in the presence of a chest tube Lack of patient consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Arterial oxygen saturation is measured using a pulse oximeter. Timepoint: One hour before the intervention and daily for five days afterwards. Method of measurement: Pulse oximeter.;Hemodynamic status, including heart rate and respiratory rate, is assessed by the ventilator. Timepoint: One hour before the intervention and daily for five days afterwards. Method of measurement: Ventilator.;Tidal volume. Timepoint: One hour before the intervention and daily for five days afterwards. Method of measurement: Ventilator.;Dynamic compliance. Timepoint: One hour before the intervention and daily for five days afterwards. Method of measurement: Ventilator.;Venous partial pressure of oxygen. Timepoint: One hour before the intervention and daily for five days afterwards. Method of measurement: Venous blood gas lab test.;Venous partial pressure of carbon dioxide. Timepoint: One hour before the intervention and daily for five days afterwards. Method of measurement: Venous blood gas lab test.;Respiratory arterial blood gas status in patients before and after treatment. Timepoint: Before treatment and a day after treatment. Method of measurement: Venous blood gas.;The volume and quality of patient's pulmonary secretions are assessed during suctioning. Timepoint: After intervention. Method of measurement: Collection of secretions in a sterile container.;The duration of mechanical ventilation and intubation, as well as the length of stay in the intensive care unit, are recorded. Timepoint: Since the start of study. Method of measurement: Recording in patient files.;The percentage of patients weaned from the ventilator and the percentage of intubated patients successfully extubated. Timepoint: Since the start of study. Method of measurement: Patients counting.;Successfully extubating. Timepoint: Since the start of study until 48 hours after extubation. Method of measurement: Recording patient count. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAfrouz Kargaran Dehkordi
Iran University of Medical Sciences
Outcome results
None listed