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The Comparison of two methods of endotracheal tube cuff pressure regulation on atelectasis in patients under mechanical ventilatio

Not Applicable
Conditions
atelectasis.
Pulmonary collapse
Registration Number
IRCT2017091319677N4
Lead Sponsor
Vice Chancellor for Research Mazandaran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
220
Inclusion Criteria

age above 18 ; normal BMI (18.5-24.9) ; intubated through endotracheal tube (orotracheal) ;patients under mechanical ventilation and open heart surgery and CABG; FEV1/FVC > 0.7 (based on spirometery);chest x ray (based on radiologist's diagnosis) and history and examination(by Heart anesthetist)not to mention to acute or chronic pulmonary disease; heart failure ; immunodeficiency ;absence of chronic pulmonary disease(COPD) ; asthma ;patients with severe valve failure ; laryngeal disease or laryngeal anomalies.
Exclusion criteria: Patients with difficult intubation in 2 or more than 2 try ; reoperation due to post surgery critical condition ( more than 1000 cc drainage ; heart tamponade ) ; history of Pulmonary diseases in last 2 months.

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Air leackage and atelectasis. Timepoint: 24 hours after the intervention. Method of measurement: auscultation.
Secondary Outcome Measures
NameTimeMethod
Endotracheal cuff pressure with volume-time curve technique. Timepoint: after admition to ICU and hemodynamic stabilization and temperture 35.5 , 37 with 20 minute interval. Method of measurement: Pressure gauge manometer.;Endotracheal cuff pressure without any audible sound of air leakkage technique. Timepoint: after admition to ICU and hemodynamic stabilization and temperture 35.5 , 37 with 20 minute interval. Method of measurement: Pressure gauge manometer.;Arterial oxygen pressure. Timepoint: 20 minute after extubation. Method of measurement: Arterial blood gas test(ABG).;Cross clamp time. Timepoint: during surgery. Method of measurement: Clock Gauge.;Body tempreture. Timepoint: after admition to ICU and 3 times after surgery in 20 minute intervals. Method of measurement: termometer.
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