The aim of this study was to determine the effects of closed and open suctioning on VAP incidence and hemodynamic status of the patient is admitted to the ICU. . This clinical trial is being conducted in1391-2. Before endotracheal suctioning the patient with 100% oxygen for 2 minutes will be Haypraksyzhnh heart rhythm (in terms of sine or non-sine), heart rate, blood pressure, Sytvl, diastolic, and arterial oxygen saturation of arterial blood by medium voltageAfter suctioning the patient and the ventilator is attached again., And closed suction group, a closed suction catheter into the endotracheal tube Vntylatvrv attached and the other end is connected to the suction pipe. After opening valves, catheters, endotracheal tube guide and discharge Nlatvn to be evacuated. And immediately, 2 and 5 minutes after suctioning above recorded for 2 minutes 3 to 5 breaths with 100% oxygen peroxide are hyper. Also, after 72 hours of having VAP patients are assessed by a doctor
General information
Acronym
IRCT registration information
IRCT registration number:IRCT2013012312251N1
Registration date:2013-03-18, 1391/12/28
Registration timing:registered_while_recruiting
Last update:
Update count:0
Registration date
2013-03-18, 1391/12/28
Registrant information
Name
Nasim Alipour
Name of organization / entity
Hamadan University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 918 312 6716
Email address
n.alipour@umsha.ac.ir
Recruitment status
Recruitment complete
Funding source
Lorestan University of Medical Sciences, Research
Expected recruitment start date
2013-02-28, 1391/12/10
Expected recruitment end date
2013-05-31, 1392/03/10
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effect of open and closed suction on Ventilator-associated Pneumonia and hemodynamic status in intensive care patients
Public title
Effect of open and closed suction on Ventilator-associated Pneumonia and hemodynamic status
Purpose
Prevention
Inclusion/Exclusion criteria
Criteria include: the need for endotracheal intubation and mechanical ventilation with positive pressure, age 80-15 years, the time from admission to admission to the intensive care unit of the hospital in less than 4 hours, the lack of heart disease - cardiovascular, half-sitting position, nasal tube - stomach in all patients, the level of consciousness of less than 9, but did not receive a specific antibiotic routine antibiotics (cefazolin), suctioning of secretions and require much more than. Infection, pneumonia, respiratory failure, and underlying disease that increases the risk of pneumonia. Normal cardiac rhythm, arterial oxygen saturation greater than 90%, and Heart rate between 100 to 60 beats per minute before suctioning ,and the calibration of a ventilator and monitor all devices. Exclusion criteria Patients: a history of smoking, apart from mechanical ventilation and less than 72 hours Ayntvbh of death within 48 hours, received a heart drug during the project, the need for antibiotics and certain additional antibiotics routine (cefazolin) during the project increase during the discharge plan.
Age
From 15 years old to 80 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
86
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Hamedan University of Medical Sciences
Street address
Hamedan -shahied fahmideh street-University of Medical Sciences
City
Hamedan
Postal code
65178
Approval date
2013-03-12, 1391/12/22
Ethics committee reference number
16/35/9/4635/پ/د
Health conditions studied
1
Description of health condition studied
Pneumonia
ICD-10 code
J17
ICD-10 code description
Pneumonia in diseases classified elsewhere
Primary outcomes
1
Description
Ventilator-associated Pneumonia
Timepoint
After 72 hours of endotracheal intubation
Method of measurement
CIPS criteria
2
Description
Hemodynamic status
Timepoint
Before suctioning immediately, 2 and 5 minutes after suctioning
Method of measurement
Cardiorespiratory monitoring device
Secondary outcomes
empty
Intervention groups
1
Description
In the control group (open system suctioning) of tracheal tube and the ventilator was removed by entering the sterile catheter into the endotracheal tube to drain Discharge .After suctioning the patient and the ventilator is attached again. During endotracheal suctioning is about 10-5 s. Such measures during These measures is done during the first 72 hours of hospitalization in the intensive care unit and If needed.
Category
Prevention
2
Description
In the intervention group, the suctioning using a closed system( TYE CARE mark) During the first 72 hours of hospitalization in the intensive care unit and if a patient needs to be done. During endotracheal suctioning is about 10-5 seconds.
Category
Prevention
Recruitment centers
1
Recruitment center
Name of recruitment center
Besat Hospital in Hamedan
Full name of responsible person
nasim alipour
Street address
City
khoramabad
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Lorestan University of Medical Sciences, Research
Full name of responsible person
Doctor Mohammad Hassan Kaydi
Street address
Lorestan University of Medical Sciences, Research
City
Khorramabad
Grant name
124409010
Grant code / Reference number
1192
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Lorestan University of Medical Sciences, Research
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
Lorestan University of Medical Sciences
Full name of responsible person
nasim alipour
Position
student master critical care Nursing
Other areas of specialty/work
Street address
Lorestan University of Medical Sciences-College ofnursing and Midwifery-Department of Nursing
City
khorramabad
Postal code
381351698
Phone
+98 66 1620 0146
Fax
Email
n.alipour@umsha.ac.ir;alipour.0289@yahoo.com
Web page address
Person responsible for scientific inquiries
Contact
Name of organization / entity
Lorestan University of Medical Sciences
Full name of responsible person
tahereh tolabi
Position
Ph.D. in Nursing
Other areas of specialty/work
Street address
Lorestan University of Medical Sciences-College ofnursing and Midwifery-Department of Nursing
City
khorramabad
Postal code
381351698
Phone
+98 66 1620 0140
Fax
+98 66 1620 0138
Email
tolabi_t@lums.ac.ir; Toulabi_t@yahoo.com
Web page address
Person responsible for updating data
Contact
Name of organization / entity
Lorestan University of Medical Sciences
Full name of responsible person
nasim alipour
Position
student master critical care Nursing
Other areas of specialty/work
Street address
Lorestan University of Medical Sciences-College ofnursing and Midwifery-Department of Nursing
City
khorramabad
Postal code
6516764839
Phone
+98 81 1825 2794
Fax
Email
n.alipour@umsha.ac.ir;alipour.0289@yahoo.com
Web page address
Sharing plan
Deidentified Individual Participant Data Set (IPD)