Effect of intrapulmonary percussive ventilation in spontaneously breathing non-ventilated patients in critical care on oxygenation, pulmonary complications and length of stay compared to standard chest physiotherapy: A randomised controlled trial

epean Hospital0 个研究点目标入组 106 人开始时间: 2019年8月5日最近更新: 2024年4月29日

适应症

试验速览

暂无简介。

•Age: adults greater than or equal to 16 years
•-FiO2 greater than or equal to 28% via mask or high flow nasal cannula or greater than or equal to 3 litres/minute via nasal cannula
•-Evidence of pulmonary atelectasis or consolidation (Confirmed by ICU clinician)
•-Patients with SpO2 less than or equal to 90% on room air (RA), respiratory rate (RR) greater than or equal to 25, accessory muscle use (with exception of chronic pulmonary or cardiac condition where a lower SpO2 range is acceptable by the medical team).
•-Evidence of sputum retention (based on cough assessment and auscultation findings)

•Intubated patients
•-Hypoxemia due to non-respiratory or non-reversible causes such as congestive cardiac failure, low haemoglobin levels, pulmonary hypertension, pulmonary embolism
•-Hemodynamic instability; Systolic BP less than or equal to 80 mm Hg, acute myocardial ischemia, ventricular arrhythmia
•-FiO2 greater than or equal to 70%
•-Pneumothorax (with or without ICC)
•-Post esophagectomy / pneumonectomy patients
•-Patients with facial fractures/injuries/surgeries
•-Frank haemoptysis
•-Uncooperative/agitated/confused patients (RASS greater than or equal to +2)
•-Drowsy/sedated/unresponsive patients (RASS less than or equal to - 2)
•-Pregnant women (pregnant patients in critical care are often not stable and effects of IPV in pregnant patients is unknown)
•-Aggressive patients (potential harm to staff members)
•-Patients with communication difficulties (NESB) - utilisation of interpreter services twice daily may not be feasible and can be expensive.

发起方

epean Hospital