Physiological Parameters
Conditions
Keywords
cough augmentation, weaning outcomes
Brief summary
The study aims to determine the effect of implementing cough augmentation techniques on weaning outcomes among critically ill patients
Detailed description
Cough augmentation techniques are important interventions for critically ill patients who have impaired cough strength due to mechanical ventilation, neuromuscular weakness, sedation, or respiratory muscle dysfunction. These techniques, which include manual assisted cough, lung volume recruitment, and mechanical insufflation-exsufflation, enhance expiratory airflow and improve the clearance of airway secretions
Interventions
OTHERcough augmentation techniques
the lung volume recruitment maneuver via MV was applied with assistant of the attended physician as follows: Use pressure-controlled ventilation and increase end-inspiratory volume (30 or 40 cm H2O for 30 to 40 seconds unless contraindicated) or inspiratory hold for 30 to 40 seconds to promote cough effectiveness. The patient serially inhales a volume of gas without exhalation until maximum insufflation capacity via the ventilator to facilitate breath-holding (if not contraindicated).
Sponsors
Heba.Attia@nur.dmu.edu.eg
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult intubated patients * both sex
Exclusion criteria
* patient with facial trauma * patient with tracheostomy tube
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| weaning success | within 7 days | measured through successful extubating |
Countries
Egypt
Contacts
CONTACTAlaa Mustafa, assistant professor
CONTACTHeba Saad, lecturer
PRINCIPAL_INVESTIGATORsahar youness, professor
professor of critical care and emergency nursing
Outcome results
None listed