Impact of Early Out-of-bed Mobilization on Physiological Parameters of Patients Admitted to Intensive Care for Subarachnoid Hemorrhage
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Subarachnoid Hemorrhage
- Sponsor
- Assistance Publique - Hôpitaux de Paris
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Impact on lung aeration
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of the study is to evaluate the physiological response to out-of-bed mobilization in patients admitted to the intensive care unit for subarachnoid hemorrhage. More specifically, the aim is to measure the impact on cerebral perfusion, lung aeration, cardiovascular and respiratory parameters.
Detailed Description
In patients with subarachnoid hemorrhage, the mobilization strategy has been little studied. Several studies have already evaluated the consequences of mobilization in bed. Because of the deleterious consequences of prolonged bed rest, and in line with recommendations, practices have evolved towards early out-of-bed mobilization, which has shown benefits. However, the physiological consequences of out-of-bed mobilization have not yet been assessed. The aim of this study is to measure the impact of early out-of-bed mobilization of patients admitted for SAH on neuro-cardio-pulmonary physiological parameters.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 18 years
- •Aneurysmal SAH
- •Severity score World Federation Neurological Surgeons I to IV
- •Secured aneurysm
- •Eligible for their first early mobilization
Exclusion Criteria
- •Sedated patient
- •Disturbed alertness, coma
- •Unsecured aneurysm
- •Patients under legal protection (guardianship, curatorship, safeguard of justice)
Outcomes
Primary Outcomes
Impact on lung aeration
Time Frame: at T0 before initiation of out-of-bed mobilization, and 15 minutes after moving to the chair.
Lung Ultrasound Score by lung ultrasound, Ranging from 0 (normal lungs) to 36 (worst case scenario).
Secondary Outcomes
- Impact on neurological examination(At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.)
- Impact on heart rate(At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.)
- Impact on arterial pressure(At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.)
- Impact on Saturation(At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.)
- Impact on cerebral tissue oxygenation(At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.)
- Impact on patient comfort(At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.)
- Impact on cerebral blood flow(At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.)