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Assessment the effect of body position during sleep on the pressure of the respiratory tract in brain injury patients

Not Applicable
Conditions
Head trauma.
Multiple injuries of head
Registration Number
IRCT2014111318342N3
Lead Sponsor
Vice chancellor for research, Qazvin University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
30
Inclusion Criteria

The included group will be 18-65 years old of both genders; They should not have intubated more than 72 hours; patients should be in a lull level of -5 according to Richmond scale; Patients should be in a level of 3-4 according to behavioral pain scale; Intra tube suction has not done through 30 min before measurement of cuff pressure; Intubation should be done using low pressure and high volume tracheal tubes made by the same factory.
Exclusion criteria: Pregnancy; presence of any injury or movement limitation due to any reason in neck vertebrae; short neck confirmed by physical examination done by physician; spinal injuries; tracheal anomalies (tracheomalacia) confirmed by physician;  Cushing's triad (heart rate less than 60 beats per minute; breathing rate less than 8 per minute; systolic blood pressure greater than 140 mmhg); multiple trauma patients; difficult intubation according to physician report; arm perimeter greater than 32 cm (BMI>30)? Temperature greater than 38.3 and less than 35 ° C? respiratory rate greater than 35 times per minute? heart rate greater than 100 beats per minute? systolic blood pressure less than 90 mm Hg? mean arterial pressure below 60 mmHg

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Endotracheal tube cuff pressure. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Manometer.
Secondary Outcome Measures
NameTimeMethod
Temperature. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Thermometer.;Blood pressure. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Sphygmomanometer.;Heart rate. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Enumeration.;Respiritory rate. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Enumeration.;Mean airway pressure. Timepoint: Immediately before and after and 15 minutes after intervention. Method of measurement: Mechanical ventilation device.
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