Hospitalized patients in intensive care units (ICU) are prone to developing respiratory complications, particularly atelectasis and bronchopneumonia.
Conditions
Interventions
After 24 hours of mechanical ventilation 65 patients were placed in supine position with the head of bed elevated to an angle of 30o and carried out a chest radiograph.
Thereafter they were submitted
other
H02.010.625
Sponsors
Hospital e Maternidade Celso Pierro
Universidade Estadual de Campinas
Eligibility
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Age greater than 18 years Patients on mechanical ventilation Ramsay sedation scale between 4 and 6 levels Hemodynamic stability No osteoarticular lesions (rib fractures or unstable thorax).
Exclusion criteria
Exclusion criteria: Intracranial hypertension > 30 mmHg Pneumothorax Hemodynamic instability with use of high doses of vasoactive drugs, dopamine and dobutamine > 5 µg/kg/min and noradrenalin > 0.5 µg /kg/min
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reverse atelectasis after the application of the manual chest compression and decompression maneuver, from the measurement of lung volumes following: inspiratory tidal volume (VTi), expiratory tidal volume (VTE), minute volume, and measurement of oxygen saturation (SpO2), capnography (Pet CO2). | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in pulmonary volume Improvement in pulse oximetry Reduction occurred in expiratory CO2 No alteration occurred in heart rate and mean arterial pressure | — |
Countries
Brazil
Contacts
Public ContactFabiana Della Via
Universidade Estadual de Campinas
Outcome results
None listed