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临床试验/NCT01155648
NCT01155648已完成不适用

Increasing Pressure Support During Chest Wall Compression is Useful During Respiratory Therapy?

Hospital de Clinicas de Porto Alegre2 个研究点 分布在 1 个国家目标入组 66 人开始时间: 2008年5月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
66
试验地点
2
主要终点
Variation of mucus secretion aspirated.

研究概览

简要总结

The purpose of this study is to compare two physiotherapy techniques: chest wall compression versus chest wall compression plus increase of 10 cmH2O in inspiratory pressure.

详细描述

  1. After being placed in the supine position in bed, with head angle elevation at 30°, patients were randomized to:group 1 (G1): chest wall compression for ten minutes in chest or group 2 (G2): chest wall compression plus increase of 10 cmH2O in IP in PSV for ten minutes in chest.
  2. Clinical variables and APACHE II were registered.
  3. Parameters analyzed at the beginning (1) and at the end (2) of the protocol were: variation of peak pressure (ΔPp=Pp2-Pp1),variation of tidal volume (ΔVT =VT2-VT1), variation of dynamic compliance (ΔCdyn= Cdyn2-Cdyn1).
  4. The amount of variation of mucus secretion aspirated (ΔSa= Sa2-Sa1) at the end was also measured

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients on mechanical ventilation over 48 hours
  • With ventilatory drive
  • Hemodynamically stable MAP> 60 mmHg
  • With treatment of respiratory therapy

排除标准

  • Contra indication of increased positive inspiratory pressure
  • Peak pressure in the upper airway > 40 cmH2O
  • Osteoporosis diagnosis
  • Deny to participate in the study

结局指标

主要结局

Variation of mucus secretion aspirated.

时间窗: Two years

次要结局

  • Hemodynamic and pulmonary parameters.(Two years)

研究者

申办方类型
Other

研究点 (2)

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