Dyspnea
Conditions
Brief summary
Breathing discomfort (dyspnea) during mechanical ventilation in the ICU may complicate care.
Detailed description
Patients on ventilators experience a variety of discomforts: symptoms (dyspnea ,fatigue , pain ) ,emotions (depression, anxiety ,panic) and feeling of lack to control .Patients may or may not express this discomfort outwardly with agitation ,restlessness ,grimacing or increase in the vital signs (heart rate ,blood pressure ,breathing frequency).The aim of the present study is to assess the prevalence of dyspnea among mechanically ventilated patients, Describe interventions that may alleviate breathing discomfort and examine its impact on clinical outcomes.
Interventions
OTHERvisual analogue scale (VAS),Respiratory distress observational scale (RDOS) and other Nursing care
Distressed patient will be assessed by visual analogue scale(VAS) or respiratory distress observational scale.Nursing interventions will be done according to its causes as giving supplemental O2 therapy, pharmacologic therapy ,initiating positive pressure ventilation or change Ventilator settings (TV, PEEP, Inspiratory pressure ), Improve inspiratory muscle function by Nutrition, positioning or by minimizing use of steroids , clearing airway by Suctioning, Check O2 saturation level frequently and maintain O2 saturation between 95-100%, ,Raising the HOB (Head of the Bed), high Fowler's ,Give pain medications as prescribed or diuretics as ordered and If thick secretions increase oral fluids intake
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Intervention model description
Researcher will provide patients with suitable care for relieving dyspnea and record the outcomes
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Intubated or tracheostomized patients who were mechanically ventilated for \>24 hrs. * Age : 18-60 yrs * Patients with Respiratory diseases * Patients during spontaneous breathing trial
Exclusion criteria
* • Patients with acidosis, anemia ,drug poisoning,psychogenic disorders or neuro-muscular disorders * (non invasive ventilation)NIV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of breathing discomfort among Mechanically ventilated patients | 1year | visual analogue scale VAS for conscious patients and respiratory observational distress scale RDOS for unconscious patients |
| Effect of nursing intervention on patient and ICU | 1year | Clinical outcomes length of stay,type of discharge or other morbidities |
Countries
Egypt
Contacts
Primary ContactEman Mamdouh Aziz, assit.lecturer
Outcome results
None listed