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IRCT20100921004787N6 IRCT 2020-02-19 Rasht University of Medical Sciences Survey effect of manual percussion and mechanical vibration on respiratory indexes in mechanically ventilated patients in Rasht Poursina hospital critical care units 2019- 2020 Survey effect of manual percussion and mechanical vibration on respiratory indexes in mechanically ventilated patients 2020-03-29 anticipated 62 Complete https://irct.ir/trial/45193 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Crossover, Purpose: Prevention, Randomization description: Specimens are assigned randomly to quadruple blocks in order to select the sequence of intervention in groups A and B, which will be sequenced using" Random block " software. The proprietary Randomized Allocation is kept in a sealed package with the ward supervisor. And before starting the intervention will open. Based on the daily and inpatient referrals in the section according to the sequence of samples will be divided into groups A and B. Group A is the group which first receive manual percussion and after the wash out period mechanical vibration is performed on them and Group B is the group that is first mechanical vibration performed after the washout period recieve manual percussion, Blinding description: participant. They do not know the order of the interventions. N/A Chest physiotherapy. Intervention 1: First Intervention group: or group A: the group that first received manual percussion and after wash out period mechnical vibration perform on them .one hour after suction and before the intervention started ,the indices like pulmonary compliance and airway resistance seen on the ventilator screen is recorded as well as the percentage of arterial oxygen saturation from the monitor next to the patient's bed. Indicators are recorded immediately after each intervention, and at 1, 5, 15 and 30 minutes after each intervention. Intervention 2: Intervention group: the group that first received mechanical vibration and after wash out period manual percussion perform on them .one hour after suction and before intervention started ,the indices like pulmonary compliance and airway resistance seen on the ventilator screen is recorded as well as the percentage of arterial oxygen saturation from the monitor next to the patient's bed. Indicators are recorded immediately after each intervention, and at 1, 5, 15 and 30 minutes after each intervention. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Once the data collection is complete, the decision will be made
public Nasim Rasoulnis
Student of Nursing and Midwifery Faculty, Shahid Beheshti Highway, Rasht
Rasht Iran (Islamic Republic of) 4146939841 +98 13 3355 3302 nasim.msn2014@gmail.com Rasht University of Medical Sciences scientific Tahereh Khaleghdoost Mohammadi
Student of Nursing and Midwifery Faculty, Shahid Beheshti Highway, Rasht
Rasht Iran (Islamic Republic of) 4146939841 +98 13 3355 3202 khaleghdoost@gums.ac.ir Rasht University of Medical Sciences Iran (Islamic Republic of) Age over 18 years Connected to mechanical ventilation Complete cardiopulmonary monitoring Hemodynamic stability in the last 6 hours according to anesthesiologist Absence of spinal cord injuries No pulmonary disease and no pneumothorax, hemothorax and rib fracture Recurrent volume of gastric lavage less than 100 ml before intervention 18 years no limit Both Hemodynamic parameters instability Increased intracranial pressure The need for emergency suctioning during the intervention Changes in ventilator device settings and modes during the study Patient leaving the ward to perform paraclinical procedures and withdraw from monitoring Prevention Prevention First Intervention group: or group A: the group that first received manual percussion and after wash out period mechnical vibration perform on them .one hour after suction and before the intervention started ,the indices like pulmonary compliance and airway resistance seen on the ventilator screen is recorded as well as the percentage of arterial oxygen saturation from the monitor next to the patient's bed. Indicators are recorded immediately after each intervention, and at 1, 5, 15 and 30 minutes after each intervention. Intervention group: the group that first received mechanical vibration and after wash out period manual percussion perform on them .one hour after suction and before intervention started ,the indices like pulmonary compliance and airway resistance seen on the ventilator screen is recorded as well as the percentage of arterial oxygen saturation from the monitor next to the patient's bed. Indicators are recorded immediately after each intervention, and at 1, 5, 15 and 30 minutes after each intervention. Pulmonary compliance. Timepoint: Before intervention and 1, 5, 15, 30 minutes after intervention in each group. Method of measurement: View on ventilator screen. Airway resistance. Timepoint: Before intervention and 1, 5, 15, 30 minutes after intervention in each group. Method of measurement: View on ventilator screen. Percentage of arterial blood oxygen saturation. Timepoint: Before intervention and 1, 5, 15, 30 minutes after intervention in each group. Method of measurement: From the monitoring screen connected to the patient. Guilan university of medical science Approved 2020-01-18 Ethics committee of Guilan University of Medical Sciences Student of Nursing and Midwifery Faculty, Shahid Beheshti Highway, Rasht Rasht Guilan Iran (Islamic Republic of)