ACTRN12619001075178已完成未知
Effect of intrapulmonary percussive ventilation in spontaneously breathing non-ventilated patients in critical care on oxygenation, pulmonary complications and length of stay compared to standard chest physiotherapy: A randomised controlled trial
epean Hospital0 个研究点目标入组 106 人开始时间: 2019年8月5日最近更新:
适应症
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 106
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomised controlled trial
- 主要目的
- Treatment
- 盲法
- Blinded (masking used)
入排标准
- 年龄范围
- 16 Years 至 o limit（—）
- 性别
- All
入选标准
- •Age: adults greater than or equal to 16 years
- •-FiO2 greater than or equal to 28% via mask or high flow nasal cannula or greater than or equal to 3 litres/minute via nasal cannula
- •-Evidence of pulmonary atelectasis or consolidation (Confirmed by ICU clinician)
- •-Patients with SpO2 less than or equal to 90% on room air (RA), respiratory rate (RR) greater than or equal to 25, accessory muscle use (with exception of chronic pulmonary or cardiac condition where a lower SpO2 range is acceptable by the medical team).
- •-Evidence of sputum retention (based on cough assessment and auscultation findings)
排除标准
- •Intubated patients
- •-Hypoxemia due to non-respiratory or non-reversible causes such as congestive cardiac failure, low haemoglobin levels, pulmonary hypertension, pulmonary embolism
- •-Hemodynamic instability; Systolic BP less than or equal to 80 mm Hg, acute myocardial ischemia, ventricular arrhythmia
- •-FiO2 greater than or equal to 70%
- •-Pneumothorax (with or without ICC)
- •-Post esophagectomy / pneumonectomy patients
- •-Patients with facial fractures/injuries/surgeries
- •-Frank haemoptysis
- •-Uncooperative/agitated/confused patients (RASS greater than or equal to +2)
- •-Drowsy/sedated/unresponsive patients (RASS less than or equal to - 2)
- •-Pregnant women (pregnant patients in critical care are often not stable and effects of IPV in pregnant patients is unknown)
- •-Aggressive patients (potential harm to staff members)
- •-Patients with communication difficulties (NESB) - utilisation of interpreter services twice daily may not be feasible and can be expensive.
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