Background & Aim: In patients undergoing mechanical ventilation because of an endotracheal tube, mucus production and secretion is high. Because endotracheal suction in these patients is essential, Chest physiotherapy techniques such as expiratory rib cage compression before endotracheal suctioning can be used as a means to facilitate mobilizing and removing airway secretion and improving alveolar ventilation. So that this study was carried out to determine the effect of expiratory rib cage compression before endotracheal suctioning on arterial blood oxygenation (spo2) in patients receiving mechanical ventilation.
Material & Method: This study is a randomized clinical trial with crossover design. The study sample included 50 mechanically ventilated patients hospitalized in intensive care wards of hospitals valiasr and ayatollah mousavi in zanjan. Subjects were selected based on purposive sampling method. The patients received endotracheal suctioning with and without rib cage compression. With a minimum 3 hours interval between the two interventions. Expiratory rib cage compression was performed for 5 minutes before endotracheal suctioning. Spo2 were measured 5 minutes before and 15, 25 minutes after endotracheal suctioning. Data were recorded on the data recording sheet. Data were analyzed using paired t-tests.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT201205079664N1
Registration date:2012-05-21, 1391/03/01
Registration timing:retrospective
Last update:
Update count:0
Registration date
2012-05-21, 1391/03/01
Registrant information
Name
Mitra Payami Bousari
Name of organization / entity
Zanjan University of Medical Sciences and Health Services
Country
Iran (Islamic Republic of)
Phone
+98 24 3315 6962
Email address
payami@zums.ac.ir
Recruitment status
Recruitment complete
Funding source
Vice chancellor for research, Zanjan University of Medical Sciences
Expected recruitment start date
2011-04-21, 1390/02/01
Expected recruitment end date
2011-10-23, 1390/08/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of expiratory rib – cage compression before endotracheal suctioning on arterial blood oxygenation
mechanically ventilated patients
Public title
The effect of expiratory rib – cage compression before endotracheal suctioning on arterial blood oxygenation
The effect of expiratory rib – cage compression before endotracheal suctioning on arterial blood oxygenation
mechanically ventilated patients
Purpose
Prevention
Inclusion/Exclusion criteria
Inclusion criteria: men patients with stable hemodynamic status within 18-70 years old, wiht Hct more than 25%, without hyperthermia, chest injury, chst tube, chest surgery and ventilated on PEEP mode, patient with active asthma and emphysema, using endotracheal suctioning 1 hours before intervention.
Exclusion criteria: reciving any kind of parlytic mascular drug like Pavlon in invention time zone, start/stop or chnage in vasodilator drug in invention time zone, change in ventilator setup, using endotracheal suctioning 1 hours before each phase of intervention, changing ventilator mode as with CMV mode.
Age
From 18 years old to 70 years old
Gender
Male
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
50
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Single blinded
Blinding description
Placebo
Not used
Assignment
Crossover
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Zanjan University of Medical Sciences and Health Services
Street address
Azadi Square,Zanjan University of Medical Sciences and Health Services
City
Zanjan
Postal code
45156-13191
Approval date
2011-03-13, 1389/12/22
Ethics committee reference number
8912218
Health conditions studied
1
Description of health condition studied
patients under mechanical ventilation
ICD-10 code
J00-J99
ICD-10 code description
Primary outcomes
1
Description
Arterial blood oxygenation
Timepoint
5 minutes befor and 15 and 25 minutes after intervention in each phase
Method of measurement
using vital sign monitoring system with Poyandegan Rahe Saadat made in Iran
Secondary outcomes
1
Description
Vital sign including Blood pressure, pulse, respiratory rate
Timepoint
5 minutes before and 15 and 25 after intervention in each phase
Method of measurement
mm/hg for BP, number for Pulse and respiratory rate announced by vital sign monitoring system Pooyandegan rahe Saadat made by Iran
Intervention groups
1
Description
on every patients two intervention was performed with a 3 hours interval. we divided patients randomaly in to two group. on patient in group A in first phase of study endotracheal suctioning was performed without rib cage compression. With a minimum 3 hours interval , this procedure repeated this time with rib cage compression. for group B in the first phase endotracheal suctioning was performed with rib cage compression. With a minimum 3 hours interval between the two interventions this procedure repeated this time without rib cage compression.. vital sign and Spo2 were assessed three times: 5 minutes before endotracheal suctioning, 15 and 25 minutes after endotracheal suctioning. Data were recorded on the data recording sheet.
Category
Treatment - Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Valiasr and Ayatollah Mossavi educationl hospital of Zanjan
Full name of responsible person
Dr. Saied Agha Hassan Kashani ,Super professionalist of critical care,
Street address
Valiasr educational hospital, ZUMS
City
Zanjan
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Zanjan University of Medical Sciences and Health Services
Full name of responsible person
Dr. Alireza Biglari
Street address
Zanjan, Zanjan University of Medical Sciences and Health Services, Research
City
Zanjan
Grant name
اعتبارات پژوهشی
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Zanjan University of Medical Sciences and Health Services
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty
Person responsible for general inquiries
Contact
Name of organization / entity
Zanjan University of Medical Sciences and Health Services
Full name of responsible person
Mitra payami Bousari
Position
PhD, assisstant professor
Other areas of specialty/work
Street address
Zanjan,nursing and midwifery faculty of Zanjan University of Medical Sciences and Health Services, Parvin Eesami Ave.,\
City
Zanjan
Postal code
4515786339
Phone
+98 24 1727 2057
Fax
+98 24 1727 0305
Email
payami@zums.ac.ir
Web page address
Person responsible for scientific inquiries
Contact
Name of organization / entity
Zanjan University of Medical Sciences and Health Services
Full name of responsible person
Mitra Payami Bousari
Position
PhD, Assistant professor
Other areas of specialty/work
Street address
Zanjan, Nursing and Midwifery faculty of Zanjan University of Medical Sciences and Health Services, Parvin Etesami Ave.
City
Zanjan
Postal code
4515786339
Phone
+98 24 1727 2057
Fax
+98 24 1727 0305
Email
payami@zums.ac.ir
Web page address
Person responsible for updating data
Contact
Name of organization / entity
Zanjan University of Medical Sciences and Health Services
Full name of responsible person
Mitra Payami Bousari
Position
PhD, Assisstant professor
Other areas of specialty/work
Street address
Parvin Etesami Ave., Nursing and Midwifery faculty of Zanjan University of Medical Sciences and Health Services
City
Zanjan
Postal code
4515786339
Phone
+98 24 1727 2057
Fax
+98 24 1727 0305
Email
payami@zums.ac.ir
Web page address
Sharing plan
Deidentified Individual Participant Data Set (IPD)