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To identify if a set of steps taken in ICU can reduce the muscle weakness developed in IC

Phase 3
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2021/07/034858
Lead Sponsor
All India Institute of Medical Sciences New Delhi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

a)Patients of either gender 18-70 years

b)Predicted ICU stay more than a week

c)On invasive mechanical ventilation

Exclusion Criteria

a)Patients with pre-existing

neuromuscular disorder

b)Unconscious (GCS <8)/traumatic

brain injury

c) Patients with amputated

limbs/Dermatological conditions

precluding use of nerve stimulator

d)Patients on mechanical ventilation >

72 hours prior to ICU admission

e)Malignancy

f)Pregnancy

g)Malnourished patients with

BMI <18.5 kg/m2

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of ICU acquired weakness in both groupsTimepoint: Incidence calculation of ICU acquired weakness in each group within the total study period after data collection is completed
Secondary Outcome Measures
NameTimeMethod
1. Severity of ICUAW as per MRC score on day 5 and day 10 <br/ ><br>2.Rectus femoris muscle thickness, cross sectional area trend on <br/ ><br>ultrasound on day 5 and 10 3.Time to development of ICUAW <br/ ><br>4. Number of days on ventilator <br/ ><br>5. Number of SBT trials before liberation from mechanical ventilation <br/ ><br>6. Length of ICU stay <br/ ><br>7. Length of hospital stay <br/ ><br>8. Muscle power (MRC criteria) at discharge from ICU <br/ ><br>9. Time to ambulate after ICU discharge <br/ ><br>10. Barthel index at 90 days <br/ ><br>11. 90-day mortalityTimepoint: Till hospital discharge or death Barthel index and 90 day mortality by telephonic interview
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