Applicability of a sedation adjustment scale as well as orotracheal tube removal in pediatric patients: a randomized clinical trial
- Conditions
- Ventilator weaningC08.618.846
- Registration Number
- RBR-2vcncpm
- Lead Sponsor
- niversidade Federal de Alfenas - UNIFAL MG
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- Not specified
Admitted to the pediatric intensive care uni; use of invasive mechanical ventilation; both genders; sedation use continues until extubation
Use of neuromuscular blockers; tracheostomy; service transfer; death; parents do not accept the survey
Study & Design
- Study Type
- Intervention
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method We expect to find a reduction in the number of days of invasive mechanical ventilation use, days of inpatient use and days of sedative use in the study group when compared to the control group.
- Secondary Outcome Measures
Name Time Method He hopes to find better hemodynamic stability through the variables heart rate, respiratory rate, blood pressure and peripheral oxygen saturation in the study group when compared to the control group.