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IRCT20190124042482N1 IRCT 2019-08-26 Tehran University of Medical Sciences Effect of Hyperinflation and Postural Drainage on Respiratory Indices in Mechanical Ventilation Patients Study of the Effect of Manual Hyperinflation and Postural Drainage on Respiratory Indices in Mechanical Ventilation Patients in Intensive Care Units 2019-06-19 anticipated 80 Complete https://irct.ir/trial/37127 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Crossover, Purpose: Prevention, Other design features: dose not have, Randomization description: Based on inclusion criteria, 80 patients were randomly assigned to the control group (40 cases) and intervention (40cases). Randomization method: block Randomization; randomization unit: Individual; Random layer: not done; Randomization tool: Random sequence generation software (Excel); How to create random sequence: Using random blocks, each block contains 4 people. Assigning a number from 1 to 6 to each block; random allocation hiding: Due to interventions on Unconscious patients, there is no possibility of hiding random assignments. N/A Ventilation disorder. Intervention 1: Intervention group: first day, respiratory parameters ( before routine suctioning and 5, 10 and 25 minutes after Routine suctioning) will be recorded. Then, during the next day before Any time suction, manual dilatation techniques and Postural drainage will be recorded. Then, respiratory parameters (5, 10 and 25 minutes after intervention) will be recorded. Intervention 2: . control group: In the first 24 hours, patients will be suctioned as needed and respiratory parameters (before routine suction and 5, 10 and 25 minutes after routine suctioning) and during the next day, Required suctioning is performed without manual dilatation and postural drainage and respiratory parameters (5, 10 and 25 minutes after suctioning)will be recorded. Yes - There is a plan to make this available What will be shared: The release plan is still unknown When: The release plan is still unknown To whom: The release plan is still unknown Conditions: The release plan is still unknown Where to obtain: The release plan is still unknown How to obtain: The release plan is still unknown Comments: The release plan is still unknown
public khatereh seylani
Tavid Square, Dr Mirkhani St. (East Nursing), Faculty of Nursing and Midwifery, Faculty of Rehabilitation, Nursing Department of Critical Care
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6691 4368 Kh-seylani@sina.tums.ac.ir Tehran University of Medical Sciences scientific Elham Navab
Tavid Square, Dr Mirkhani St. (East Nursing), Faculty of Nursing and Midwifery, Faculty of Rehabilitation, Nursing Department of Critical Care
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4412 e-navab@sina.tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) inclusion criteria: Patients older than 18 years and less than 60 years old, positive end expiratory pressure 7.5 cm H2O, endotracheal Intubation, attached to ventilator in volumetric mod for 48 hours, stable hemodynamic status, no chest tube, no chest trauma or: pneumothorax, Embolism, subcutaneous emphysema, burns, skin grafts and chest repair surgery, pregnancy, obesity, No use of cardiac pacemaker 18 years 60 years Both Exclusion criteria: receiving mucolytic and diluent drugs (bromoxyn, n-acetylcysteine), cramping drugs, starting, discontinuing or changing bronchodilator expansion agents, changes in mechanical ventilation settings, bronchospasm, Increased intracranial pressure Prevention Prevention Intervention group: first day, respiratory parameters ( before routine suctioning and 5, 10 and 25 minutes after Routine suctioning) will be recorded. Then, during the next day before Any time suction, manual dilatation techniques and Postural drainage will be recorded. Then, respiratory parameters (5, 10 and 25 minutes after intervention) will be recorded . control group: In the first 24 hours, patients will be suctioned as needed and respiratory parameters (before routine suction and 5, 10 and 25 minutes after routine suctioning) and during the next day, Required suctioning is performed without manual dilatation and postural drainage and respiratory parameters (5, 10 and 25 minutes after suctioning)will be recorded. O2saturation. Timepoint: Before, 5, 10 and 25 minutes after suctioning. Method of measurement: Pulse Oximeter. Respiratory rate. Timepoint: Before, 5, 10 and 25 minutes after suctioning. Method of measurement: Ventilator monitor. End expiratory co2. Timepoint: Before, 5, 10 and 25 minutes after suctioning. Method of measurement: Capnograph. Tehran University of Medical Sciences Approved 2019-06-19 Ethics committee of Tehran University of Medical Sciences Tohid Square, Dr Mirkhani Avenue (East Nursing), Faculty of Nursing and Midwifery, Faculty of Rehabilitation Tehran Tehran Iran (Islamic Republic of)