assessment the handgrip strength by modified sphygmomanometer test and standard handgrip dynamometer in mechanically ventilated patients. mechanically ventilated patients, handgrip strength, modified sphygmomanometer test
Conditions
Interventions
we would like to validate handgrip strength measurement by modified sphygmomanometer test (MST) as mmHg compared with standard handgrip dynamometer as kilograms in all mechanically ventilated patients
Other
mechanically ventilated patients
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Volunteers aged over 18 who consent to participate in the research project and possess full decision-making capacity. 2. Volunteers who have been on mechanical ventilation via an endotracheal tube for at least 48 hours in the medical intensive care unit, isolation intensive care unit, or semi-intensive care unit at Vajira Hospital. 3. Volunteers who have been assessed and deemed ready for weaning from mechanical ventilation according to current clinical practice guidelines (Spontaneous Breathing Trial, SBT). 4. Volunteers who are capable of squeezing a handgrip dynamometer to measure grip strength and can follow at least two simple commands. 5. All volunteers must have no or minimal risk of aspiration.
Exclusion criteria
Exclusion criteria: 1. Volunteers who died before being weaned off mechanical ventilation. 2. Volunteers who received mechanical ventilation via an endotracheal tube for less than 48 hours. 3. Volunteers transferred from other hospitals. 4. Volunteers who self-extubated or experienced accidental extubation. 5. Volunteers who required reintubation before entering the study. 6. Volunteers with an endotracheal tube inserted through a tracheostomy. 7. Volunteers unable to use a handgrip dynamometer to measure grip strength. 8. Volunteers receiving vasopressor drugs or inotropic agents. 9. Volunteers with advance directives indicating they do not wish to receive reintubation after being weaned off mechanical ventilation. 10. Volunteers previously treated with continuous positive airway pressure (CPAP).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| validation of handgrip stregth by MST and standard handgrip dynamometer at that point handgrip strength | — |
Secondary
| Measure | Time frame |
|---|---|
| postextubation respiratory failure event at 48 hour after extubation postextubation respiratory failure event (yes/no) | — |
Countries
Thailand
Contacts
Public ContactChawarin Fakraksa
Faculty of Medicine Vajira Hospital, Nawamindradhiraj University
Outcome results
None listed