Endotracheal Aspiration, Morality, Trauma, Brain, Ventilator Associated Pneumonia
Conditions
Keywords
pneumonia, cuff pressure, brain injury
Brief summary
The effect of endotracheal cuff pressure measurement technique for preventing ventilatory associated pneumonia.
Detailed description
Aim of this study is to evaluate the effect of endotracheal cuff pressure measurement technique for preventing ventilatory associated pneumonia of severe traumatic brain injured patients in a tertiary level intensive care unit.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Patients with ASA classification of 1 - 2- 3 patients Patients required mechanical ventilation support for more than 48 hours Patients diagnosed with Traumatic brain injury
Exclusion criteria
Official patient relatives who rejected to give informed consent for the study Patients diagnosed with aspiration pneumonia during ICU follow up Patients diagnosed with Acute Respiratory Distress Syndrome Patients diagnosed with cavitary lung lesion Primary lung cancer Metastatic lung cancer Congenitally immune deficiency Leukopenia Neutropenia Tracheostomized patients Post cardiopulmonary arrest patients Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PEEP | 48.hour - 72.hour - 96.hour | Positive End Expiratory Pressure levels change from baseline at 48.hour, 72.hour and 96.hour during ventilatory support |
| Score | 48.hour - 72.hour - 96.hour | Clinical Pulmonary Infection Score Change from baseline at 48.hour, 72.hour and 96.hour |
| CRP | 48.hour - 72.hour - 96.hour | C Reactive Protein measurement change from Baseline at 48.hour, 72.hour and 96.hour |
| Oxygenation | 48.hour - 72.hour - 96.hour | Fractional Inspiratory Oxygen levels change from baseline at 48.hour, 72.hour and 96.hour |
| Duration | 30 days | Follow up duration in ICU |
| Ventilation | 30 days | Mechanically ventilated period |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bacterial distribution | 0.hour - 48.hour - 72.hour - 96.hour | Bacterial distribution of tracheal aspirate culture |
| Mortality | 30 days | Total mortality ratio during study period |
| Tracheal aspirate | 0.hour - 48.hour - 72.hour - 96.hour | Tracheal aspirate sample for culture |
Countries
Turkey (Türkiye)