.Respiration, Artificial
Conditions
Interventions
The chosen patients were randomized and allocated into 5 intervention groups: 50 patients, 10 distributed in each group. 01 control group and 04 experimental ones where: In the GI, the thorax percussi
E02.779
Sponsors
Secretaria de Estado da Saúde de Rondônia
Faculdade de Medicina da Universidade de São Paulo
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients admitted to the ICU of AMI and CEMETRON hospitals; age above 18 years; presence of forte in the airways; Under the use of controlled mechanical ventilation; no ventilatory drive; No asynchronies; Intubated or tracheostomized Patients admitted to the ICU of AMI and CEMETRON hospitals; age above 18 years; presence of forte in the airways; Under the use of controlled mechanical ventilation; no ventilatory drive; No asynchronies; Intubated or tracheostomized
Exclusion criteria
Exclusion criteria: Hemodynamically unstable; who had a rib fracture; intracranial hypertension; bronchospasm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find a reduction in peak pressure after completion of the procedures, and it is hypothesized that the experimental groups will have lower values ??than the control group and that these values ??are statistically significant (p<0.05) evaluations by the graph and numeral available on the mechanical ventilator monitor, measured before, after and one hour after the intervention with the patient.Peak Pressure: It is expected to find a reduction in peak pressure after completion of the procedures, and it is hypothesized that the experimental groups will have lower values ??than the control group. And that these values ??are statistically significant (p<0.05) evaluations by the graph and numeral available on the mechanical ventilator monitor, measured before, after and one hour after the intervention with the patient;Airway resistance is expected to be lower after the intervention in all groups, but that there is a more significant reduction in the experimental groups (p<0.05). Performed with passive patient on mechanical ventilation, in Assist Control mode (Volume Control Ventilation) with square flow wave, Tidal volume of 4-8 ml/kg, flow of 60 L/min, inspiratory pause (minimum of 2s) and check Peak Pressure, Plateau Pressure, and Flow The formula used to calculate: Airway resistance = Peak Pressure - Plateau Pressure / Flow Measured before, after and one hour after the intervention with the patient. ;It is expected that there will be an increase in static compliance after the intervention in all groups, but that this will be statistically significant higher in the experimental groups when compared to the control group. considering p<0.05. Performed with passive patient on mechanical ventilation, in A/C mode (VCV) with square flow wave, Tidal Volume between 4-8 ml/kg, flow of 60 L/min, inspiratory pause (minimum of 2s) and check the Plateau Pressure, End Expiratory Pressure, Tidal Volume. The formula used to calculate: Static Compliance = Tidal Volume / | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected that saturation will increase after the intervention in all groups, and that it will be even greater in the experimental groups when compared to the control group (p<0.05), measured through the pulse oximeter attached to the patient's monitor before, after and one hour after the intervention with the patient;It is expected that the procedures are safe and that therefore there is not great variability in heart rate. Measured through the cardiac monitor attached to the patient before, after and one hour after the intervention;It is expected that the procedures are safe and that, therefore, there is not great variability in blood pressure. Measured through a cuff attached to the patient's monitor, being inflated and reading taken through the monitor attached to the patient before, after and one hour after the intervention;It is expected that the amount of secretion collected in the experimental groups is greater than the control group considering p<0.05. The aspirated content was directly collected from the probe into a collecting container, weighed on a digital precision scale, in order to quantify the secretion removed and deducting the value of the empty bottle and the amount of saline solution instilled to wash the probe | — |
Countries
Brazil
Contacts
Public ContactSamantha Campos
Secretaria de Estado da Saúde de Rondônia
Outcome results
None listed