Applicability of the comfort-behavior scale as predictor of weaning in pediatric patients: randomized clinical trial

Introduction: Pediatric patients admitted to the intensive care unit usually progress to acute pulmonary respiratory failure and require ventilatory support. Due to the invasive procedures to which the child is submitted during the period of hospitalization, the use of sedation is necessary to control pain and synchronize patient ventilator. The COMFORT - BEHAVIOR scale is widely used within the pediatric environment to adjust sedation and synchronize with invasive mechanical ventilation. Objective: To analyze the applicability of the COMFORT-BEHAVIOR scale as a weaning predictor correlating the score with the success of extubation and time on mechanical ventilation. Methodology: This is a randomized, blinded clinical trial in individuals admitted to the pediatric intensive care unit in a hospital in the south of Minas Gerais. The subjects previously selected according to inclusion and exclusion criteria will be randomized into two groups: Experimental group - application of the COMFORT - BEHAVIOR scale will be carried out by trained and standardized physiotherapists in the sector before physical therapy, before and after the moment of extubation of the patient and Group Control - the sedation adjustment will be made by the medical evaluation. Both groups will receive physical therapy three times a day. Expected Results: It is expected to carry out an analysis of the scores of the COMFORT - BEHAVIOR scale during the weaning period and if it can be considered a predictor at the time of extubation and to compare between the groups which showed the best extubation success. Providing relevant contributions to care, care and research, in the health care setting, providing a better approach for these individuals.