disorders of nerves, roots and nerve plexuses
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Neurocritical patients from the Intensive Care Unit, University Hospital (HU) breathing by artificial airway (endotracheal tube) in PMV.
Exclusion criteria
Exclusion criteria: Patients with acute decline in neurological status; elevation of refractory intracranial pressure; hemodynamic instability; hypotension (mean arterial pressure less than 60mmHg); pharmacological paralysis; mechanical ventilation with positive end-expiratory pressure (PEEP) bigger then 8cmH2O, Inspired oxygen fraction (FiO2) greater than 60%; tetany; continuous renal replacement therapy; discomfort status; body mass index bigger then 30 kg / m2; previous chest surgery; chest instability; presence of chest tube; and any clinical changes for handling to perform the technique.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate mobility, contraction speed and relaxation speed using kinesiological ultrasound and presentation of parameters in centimeters, based on the observation of a variation of at least 5% in the pre and post-intervention measurements | — |
Secondary
| Measure | Time frame |
|---|---|
| secondary outcomes will be the ventilatory monitoring parameters: static and dynamic compliance, in mL / cmH2O; the maximum inspiratory pressure (PIP, in cmH2O) necessary to generate a tidal volume suitable for age (6 to 8mL per Kg of predicted weight) and respiratory work (joules / liter; from the verification of a variation of at least 5% in the measurements pre and post intervention | — |
Countries
Brazil
Contacts
Universidade de Pernambuco