Blunt Thoracic Injury, Lung Ultrasound Score
Conditions
Brief summary
This prospective randomized controlled study was conducted in the emergency intensive care units (EICU) of the second affiliated hospital Zhejiang university school of medicine, a large tertiary university hospital in HangZhou, China.The aim of this randomized study was to compare the effectiveness of high-flow nasal cannula with conventional oxygen therapy in ICU patients with blunt thoracic injury.
Detailed description
This prospective randomized controlled study was conducted in the emergency intensive care units (EICU) of the second affiliated hospital Zhejiang university school of medicine, a large tertiary university hospital in HangZhou, China.The aim of this randomized study was to compare the effectiveness of high-flow nasal cannula with conventional oxygen therapy in ICU patients with blunt thoracic injury.
Interventions
high flow of air with supplemental oxygen was delivered by an Optiflow cannula interface using an AIRVO 2 blower humidifier
Conventional oxygen therapy
Sponsors
Study design
Eligibility
Inclusion criteria
\- The trauma registry was used to identify patients with moderate to severe blunt thoracic injury (abbreviated injury scale (AIS) chest score ≥3) admitted to the ICU
Exclusion criteria
1. had intubation and used the mechanical ventilation within 2 hours 2. had the emergency surgerys within 2 hours 3. patients can not accessed by transthoracic lung ultrasound because of the sever aerodermectasia or pneumothorax 4. the Glasgow Coma Scale \<8
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| compare the effectiveness of high-flow nasal cannula with conventional oxygen therapy in ICU patients with blunt thoracic injury. | 72 hours | High-flow nasal cannula could reduce the intube rate of patients with blunt thoracic injury,and improve the the lung aeration for patients with thoracic injury |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of days in ICU | 7 days | High-flow nasal cannula could reduce the number of days for the patients treatments in ICU |