Pulmonary Medicine, Ventilators, Mechanical
Conditions
Keywords
respiratory physiotherapy
Brief summary
Inclusion and Exclusion Criteria: Patients aged 18-65 years who are admitted to the investigator's 3rd Stage Intensive Care Unit and are dependent on mechanical ventilation will be included. The study was planned with 80 patients. Those with known chronic illnesses such as renal insufficiency, heart failure, liver failure, diabetes mellitus, hypertension, chronic obstructive pulmonary disease etc.,; patients in intensive care for postoperative follow-up; patients with mechanical ventilation due to chest or abdominal trauma will be excluded from the study. Patients who meet the study criteria will be evaluated by a physiotherapy and rehabilitation specialist and will be decided to be included in the respiratory physiotherapy program. The patients will be treated by two physiotherapists in the intensive care unit at random. One of the physiotherapists will perform classical respiratory physiotherapy with thoracic vibration and the other will only perform classical respiratory physiotherapy. Patients' acute physiology and chronic health assessment II (APACHE II) scores, partial oxygen pressure(PaO2) /fraction of inspired oxygen inspired oxygen fraction (FiO2), tidal volume, minute respiratory rate, peak air pressure, mean air pressure, blood lactate levels will be recorded daily. These values will be collected in the daily routine of the illness depending on the mechanical ventilation, by recording the already performed operations to follow the patient's clinic. If the duration of the total mechanical ventilation and complications occur, the type and timing of the complications will be examined. At the end of the study, both physiotherapy methods, APACHE II scores, PaO2 / FiO2 values, tidal volume required, minute respiratory rate, peak air pressure, mean air pressure, blood lactate levels, mechanical ventilation duration and complications will be compared statistically.
Interventions
PROCEDUREclassical respiratory physiotherapy with thoracic vibration
Classical respiratory physiotherapy application: Patient is positioned, postural drainage application is operated by tapping and trifled .
Sponsors
Bursa Yuksek Ihtisas Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Masking description
pulmonary department, physical therapy and rehabilitation, anesthesiology and reanimation
Intervention model description
randomized, controlled study
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients who accepted for Step 3 Intensive Care Unit and connected to mechanical ventilation
Exclusion criteria
* Patients with known chronic disease; * Patients in intensive care for postoperative follow-up; * Patients with mechanical ventilation due to chest or abdominal trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Duration of patient waking from the mechanical ventilator | through study completion, an average of 1 year | hour |
| Measuring of chronic health assessment II (APACHE II) scores | through study completion, an average of 1 year | score |
| Determination of tidal volume | through study completion, an average of 1 year | mmHg |
| Measuring of minute respiratory rate | through study completion, an average of 1 year | counts / minute |
| Determination of peak air pressure | through study completion, an average of 1 year | mmHg |
| Determination of mean air pressure | through study completion, an average of 1 year | mmHg |
| Measuring of blood lactate levels | through study completion, an average of 1 year | mmol/L |
Countries
Turkey (Türkiye)
Outcome results
None listed