Effect of Inspiratory Muscle Training and Early Mobilization Program on Weaning of Mechanical Ventilation in Critically Ill Patients

Faculty of Associated Medical Sciences, Chiang Mai University0 个研究点目标入组 110 人开始时间: 2018年12月20日最近更新: 2024年8月19日

适应症

试验速览

暂无简介。

•1. Participants aged 18 years old or more who will have to undergo mechanical ventilation via endotracheal tube and failed simple weaning.
•2. Good consciousness and cooperation
•3. Hemodynamic stable (no hypotension, SBP between 90-170 mmHg, MAP not varying by > 10 mmHg, Oxygen saturation > 92%, no need vasopressor or use very low levels)
•4. Respiratory stable (FiO2 < 0.60, no use respiratory-depressant drugs)
•5. No active sepsis
•6. No hyperthermia
•7. Underlying disease stable and causes for respiratory failure are resolved
•8. Psychologically stable

•1. Insufficient chronic congestive heart failure, life-threatening cardiac arrhythmias, cardiovascular instability
•2. End stage of lung cancer
•3. Neurological disease (cerebral vascular accident, cerebrospinal trauma, spinal medullar trauma, myopathy)
•4. Severe orthopedic problems, musculoskeletal pathology that impact chest movement
•5. Endocrine system and metabolic system dysfunction (hypothyroidism, malnutrition)
•6. Obesity (BMI â‰¥ 40 kg/m2)
•7. Pregnancy
•8. Significantly pain or distress experience that impeded in breathing capacity
•9. Use attention disorder drugs and/or sedative agents
•10. Palliation
•11. Pre-ICU admission status; inability to walk without assistance (except using cane or walkers)
•12 Cardiopulmonary resuscitation (CPR) at admission, do not resuscitate at admission
•13. Readmission to ICU within current hospitalization

发起方

Faculty of Associated Medical Sciences, Chiang Mai University