Neurologic Disorder
Conditions
Keywords
Respiratory therapy in neurologic disorder
Brief summary
The present study aims to compare the efficiency of respiratory therapy with cough assist and the efficiency of usual respiratory therapy in intensive care patients suffering of neurologic disorder and cough ineffectiveness. The investigators hypothesis is that cough assist is more efficient than usual respiratory care in this group of patients.
Interventions
DEVICECough assist (Philips,respironics)
OTHERUsual respiratory therapy
Sponsors
University Hospital, Geneva
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Peak flow \< 270 ml if the patient has one of the following diagnostic: post neurosurgery status, cerebral trauma, tetraparesia or tetraplegia
Exclusion criteria
* Death expected in the following 24h * Bulbar dysfunction if extubated * pneumothorax * intracerebral mass effect * elevated intracranial pressure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of stay in intensive care unit | — |
| Number of additional unplanned respiratory therapy treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Oxygenation parameters before and after respiratory therapy | — |
| Duration of stay in the hospital | — |
| Need of reintubation in the 48h following successful intubation | — |
| Intracranial pressure elevation during respiratory therapy if an intracerebral pressure monitoring is available | — |
| Pulmonary infection | — |
Countries
Switzerland
Outcome results
None listed