pneumonia
Conditions
Interventions
It is a randomized and prospective clinical study conducted in two groups: G1 (control group): 24 patients tracheostomy in use of mechanical ventilation are follow time of weaning, length of hospital
G2: 24 patients in use of mechanical ventilation will use MI-E application will undergo bronchial hygiene using IM-E, applied with the Coughtassist® CA-3200 Philips / Respironics device, this will be
Procedure/surgery
Sponsors
Hospital de Clinicas da Unicamp
Hospital de Clinicas da Unicamp
Eligibility
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Patients both male and female; aged 18 years and less or equal to 80 years; admitted to the Intensive Care Unit; tracheostomized; underwent invasive mechanical ventilation with Fio2 <60% and PEEP < 10 cmH2O; hemodynamically stable; subjects who agree to participate in the research must sign a free and informed consent form.
Exclusion criteria
Exclusion criteria: Patients who are not in the 18 to 80 age group will be excluded from the study; Major abdominal distention; Neurologic patients without ICP control (intracranial pressure); Patients with a history of asthma or severe bronchospasm; with a history of osteosporosis, pneumothorax, pneumomediastinum, costal arch fracture, skull base fracture, and cystic fistula; Patients who are not in ventilatory weaning.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The aplication of insuflation and exsuflation mechanism do not cause higher or less 20 beats per minute of heart rate, monitoring for multiparameters monitor of brand phillips;The aplication of insuflation and exsuflation mechanism do not cause higher or less 20 mercury milimeters of mean blood pressure monitoring for multiparameters monitor of brand phillips;The aplication of insuflation and exsuflation mechanism do not cause breath rate higher more than 30 breath per minute monitoring for multiparameters monitor of brand phillips;The aplication of insuflation and exsuflation mechanism do not cause oxygen saturation less than 90% monitoring for multiparameters monitor of brand phillips;The aplication of insuflation and exsuflation mechanism do not cause oxygen saturation less than 90% monitoring for multiparameters monitor of brand phillips;The aplication of insuflation and exsuflation mechanism do not cause breath rate higher more than 30 breath per minute monitoring for multiparameters monitor of brand phillips;The aplication of insuflation and exsuflation mechanism do not cause oxygen saturation less than 90% monitoring for multiparameters monitor of brand phillips | — |
Secondary
| Measure | Time frame |
|---|---|
| The patients that used cough machine does not have less weaning time, measure in days off mechanical ventilation, compared to patients without cough machine;The patients that used cough machine does not have less lenght of stay, measure in days off mechanical ventilation, compared to patients without cough machine;The patients that used cough machine does not have less aspiration number per day length stay compared to patients without cough machine | — |
Countries
Brazil
Contacts
Public ContactAline Heidemann
Hospital de Clinicas da Unicamp
Outcome results
None listed