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IRCT201610129469N2 IRCT 2017-01-22 Vice chancellor for research, Ahvaz Jundishapur University of Medical Sciences The effects of using Richmond Sedation, Agitation Scale on the length of stay and mechanical ventilation in ICU patients The effects of using Richmond Sedation-Agitation Scale on the length of stay and mechanical ventilation in ICU patients 2016-11-21 anticipated 103 Complete https://irct.ir/trial/10047 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Table of random numbers. 2-3 Head trauma. Intervention 1: Intervention group: As soon as a patient gets anxious and agitated and every 6 hours by using Richmond sedation-agitation protocol, their level of sedation and agitation during monitoring under ventilator will be measured by the researcher and then the final score will be informed to the anesthesia specialist of the ward.Then, he will order or change the type and dosage of the sedative drugs for the patient based on the scores , if necessary. Intervention 2: Control group: non-use of Richmond protocol, receive routine care.
public Mohammad Adineh
Golestan st, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz.
Ahvaz Iran (Islamic Republic of) +98 61 3554 2036 mohadineh@gmail.com; adineh-m@ajums.ac.ir Ahvaz Jundishapur University of Medical Sciences scientific Mohammad Adineh
Golestan st, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz.
Ahvaz Iran (Islamic Republic of) +98 61 3554 2036 mohadineh@gmail.com; adineh-m@ajums.ac.ir Ahvaz Jundishapur University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: The patient with brain truma is intubated and under ventilator; GCS score of ≥ 4; Not using neuromuscular blocker drugs ; The patient's age is between 16 -65 years old; Patient not be hyper active delirium with the physician diagnosis; Patient has no contraindications to the use of midazolam, lorazepam and propofol drugs. Exclusion criteria: Lack of family consent for the patient participation in the study; The patient transferred to other centers during the study; Patient takes neuromuscular blocker drugs during the study; Patient becomes hyperactive delirium during the study; Making a contraindication for using one of the midazolam, lorazepam and propofol drugs by the patient during the study; Patient agitation is not relieved by Richmond protocol during the study. 16 years 65 years Both S06.3, S06 Focal brain injury, Epidural hemorrhage, Traumatic subdural hemorrhage, Traumatic subarachnoid hemorrhage, Intracranial injury with prolonged coma, Other intracranial injuries, Intracranial injury, unspecified Treatment - Other Treatment - Other Intervention group: As soon as a patient gets anxious and agitated and every 6 hours by using Richmond sedation-agitation protocol, their level of sedation and agitation during monitoring under ventilator will be measured by the researcher and then the final score will be informed to the anesthesia specialist of the ward.Then, he will order or change the type and dosage of the sedative drugs for the patient based on the scores , if necessary. Control group: non-use of Richmond protocol, receive routine care. Hospitalization period in ICU. Timepoint: Number of days hospitalized. Method of measurement: Checklist. Dependence on mechanical ventilation period. Timepoint: Number of days dependence on mechanical ventilation. Method of measurement: Checklist. Vice chancellor for research, Ahvaz Jundishapur University of Medical Sciences Approved 2016-07-23 Ethics Committee of Ahvaz Jundishapur University of Medical Sciences Ethics Committee, Vice chancellor for research, Ahvaz Jundishapur University of Medical Sciences. Ahvaz Iran (Islamic Republic of)