Critical Care, Nursing Caries
Conditions
Keywords
critical care
Brief summary
Patients who are hospitalized in intensive care unit (ICU) require basic nursing care to improve patient hygiene, to promote comfort, to prevent pressure ulcer, and foot or hand's retractations. Those nursing cares require mobilization very frequently which expose critically ill patients to occurrence of serious adverse events (SAE) such as i) hemodynamic, neurologic, and respiratory variations ii) unplanned dislodgement (lines, drains, catheters, endotracheal tube..) Few study have evaluated relation between SAE occurence and several patient's, service's, health-care provider's caracteristics. We plan to analyse those factors to find some ways to prevent SAE occurence during nursing and hygiene cares.
Interventions
PROCEDURENursing care
The nursing care will be defined as a lateral mobibization and a length of care superior or equal to 10 min
Sponsors
French Society for Intensive Care
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Health-care affiliated * Length of ICU stay \< 72 h * Patient with endotracheal tube * Patient with tracheostomy * Patient receiving vasoactives drugs (norepinephrine, epinephrine, Dobutamine) * Patient undergoing no invasive ventilation during 1hour minimum of 24 hours before the selection * Patient undergoing hight flow oxygen therapy heated and humidified
Exclusion criteria
* Patient already included in this study * Medical contraindication to the bed bath with lateral mobilization * Withdrawal of life sustaining treatment * Spinal trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of occurrence of at least one serious avderse event (SAE) (defined below) during the nursing care while the study period (72 hours) | 72 hours | Determinate incidence of occurrence of at least one SAE (defined below) during the nursing care while the study period (72 hours) The nursing care will be defined as a lateral mobibization and a length of care sup or equal to 10min SAE are considered according to litterature as : * Cardiac arest * Unplanned extubation * Episode of Spo2 riequiring therapeutic intervention * Artificial airway obstruction requiring endotracheal suctionning * Unplanned dislodgements related to lines or catheters drains * Hypotension with therapeutic intervention * Cardiac rhythm disorders with therapeutic intervention * Agitation with therapeutic intervention * Equipment failure or dysfunction * Patient fall * Need for doctor help * Increased intracranial pressure \> 20 mmHg * Acute painful crisis |
Countries
Belgium, France, Luxembourg, Switzerland
Outcome results
None listed