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IRCT2012111911538N1 IRCT 2012-12-19 Vice- chancellor for Research of Guilan University of Medical Science Effect of rib cage compression on airway - secretion removal and respiratory parameters Survey the effect of rib cage compression on airway - secretion removal and respiratory parameters in mechanically ventilated patients 2012-11-30 anticipated 50 Complete https://irct.ir/trial/11758 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Crossover, Purpose: Prevention, Other design features: no. N/A accumulation of airway secretion,compplete or partial obstruction,impire in ventilation. Intervention 1: A group's intervention :first suctioning without rib cage compression then suction with rib cage compression during expiration time with 3 hours interval between the two intervention. Intervention 2: B group's Intervention : first suctioning with rib cage compression then suction without rib cage compression during expiration time with 3 hours interval between the two intervention.
public Farkhondeh Yousofnia
Nursing & Midwifery Faculty, Daneshjoo street, Shahid Beheshti ring way, Rasht
Rasht Iran (Islamic Republic of) 41941-68648 +98 13 1555 5056 fyosofnia@gmail.com Guilan University of Medical Sciences scientific Farideh Hasavari
Nursing and Midwifery Faculty, Daneshjoo street, Shahid Beheshti ring way, Rasht
Rasht Iran (Islamic Republic of) 41469-68648 +98 13 1555 5056 fHasavari@gums.ac.irf.hasavari@gmail.com Guilan University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) inclusionl criteria: age 18 to 65 years, having 7-8.5 mm endotracheal tube, connected to a volume mode ventilator for a minimum of 48 hours, stable hemodynamic status (mean arterial pressure between 110 to 60 mm Hg, heart rate of less than 110 beats per minute and arterial oxygen saturation greater than 90% of the activity in the absence of oxygen ventilator (Fio2) is less than 60 percent), lack of a chest tube, no chest surgery or injuries, no rib fractures, pneumothorax,embolism, subcutaneous emphysema metastatic cancers, no burns, skin grafts and reconstructive surgery of the chest,no spine Fusion, pregnancy, obesity (body mass index (BMI)> 30) and no use of cardiac pacemakers,sever scoliosis , unstable chest, absence abscess or cysts of the lung, report of chest x-ray of infiltration, atelectasis, no history of lung disease, according to records and having a score of -4 or -5 based on criteria Richmond (RASS). Exclusion criteria : mucolytic and muscle paralysis drugs, start, stop, or change the bronchodilator medications during the study, changes in the configuration of mechanical ventilation during the study period ,received endotracheal suctioning in less than an hour, closed suction system, severe bronchospasm, increased brain pressure based on The doctor diagnose, and vascular fragility (petechiae, purpura and ecchymosis). 18 years 65 years Both j44.0 lower respiratory infection Prevention Prevention A group's intervention :first suctioning without rib cage compression then suction with rib cage compression during expiration time with 3 hours interval between the two intervention B group's Intervention : first suctioning with rib cage compression then suction without rib cage compression during expiration time with 3 hours interval between the two intervention Airway secretion. Timepoint: every 3 hours. Method of measurement: weighing secretions by suctionning out. Respiratory parameters. Timepoint: every 3 hours. Method of measurement: ventilator monitor observation. Vice- chancellor for Research of Guilan University of Medical Science Approved 2012-11-17 Guilan University of Medical Sciences Namjoo street-Guilan University of Medical Sciences Rasht Iran (Islamic Republic of)