Assessment the effect of changing body position on endotracheal tube cuff pressure in head trauma patients with mechanical ventilation who admitted in ICU ward

Vice chancellor for research, Qazvin University of Medical Sciences0 个研究点目标入组 30 人开始时间: 待定最近更新: 2018年2月22日

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•The included group will be 18-65 years old of both genders; They should not have intubated more than 72 hours; patients should be in a lull level of -5 according to Richmond scale; Patients should be in a level of 3-4 according to behavioral pain scale; Intra tube suction has not done through 30 min before measurement of cuff pressure; Intubation should be done using low pressure and high volume tracheal tubes made by the same factory.
•Exclusion criteria: Pregnancy; presence of any injury or movement limitation due to any reason in neck vertebrae; short neck confirmed by physical examination done by physician; spinal injuries; tracheal anomalies (tracheomalacia) confirmed by physician; Cushing's triad (heart rate less than 60 beats per minute; breathing rate less than 8 per minute; systolic blood pressure greater than 140 mmhg); multiple trauma patients; difficult intubation according to physician report; arm perimeter greater than 32 cm (BMI>30)? Temperature greater than 38.3 and less than 35 ° C? respiratory rate greater than 35 times per minute? heart rate greater than 100 beats per minute? systolic blood pressure less than 90 mm Hg? mean arterial pressure below 60 mmHg

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Vice chancellor for research, Qazvin University of Medical Sciences