Abnormal Respiratory Airway Resistance
Conditions
Keywords
peak airway pressure, airway resistance, sedation, intensive care
Brief summary
The aim of this study is to compare the effects of dexmedetomidine and propofol on pulmonary mechanics in intensive care patients.
Detailed description
The aim of this study is to compare the effects propofol and dexmedetomidine on pulmonary mechanics. Sixty patients mechanically ventilated in intensive care unit are included in this study. Patients are divided into two random groups, Group P (propofol) and Group D (dexmedetomidine). Propofol infusion 0.5-2 mg/kg/h is given to Group P patients and dexmedetomidine infusion 0.2-0.7 mcg/kg/h is given to Group D patients for sedation. Initial blood gas analysis, airway resistance (cmH2O/L/sec), positive end-expiratory pressure (PEEP, cmH20), frequency (breath/min), tidal volume (mL/min), minute volume (mL), peak airway pressure (cmH20), compliance (mL/cmH20), endtidal CO2 (mmHg), SvO2 (%) values are recorded. This parameters are evaluated with Drager Evita 4 ventilator and recorded on 5th,15th,30th,45th ve 60th minutes . Sedation is observed using Riker and Ramsey Sedation-Agitation Scale. Compliance of patients to mechanical ventilation is observed and recorded. The primary outcome measures are airway resistance and peak airway pressure. Secondary outcome measure is sedation score.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* The patients mechanically ventilated in intensive care unit
Exclusion criteria
* Patients with contraindications for using propofol and dexmedetomidine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| airway resistance | 60 minutes | airway resistans measured by Evita 4 ventilator flow sensor |
| peak airway pressure values | 60 minutes | peak airway pressure values provide the methods used to Evita 4 ventilator flow sensor |
Countries
Turkey (Türkiye)