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IRCT2013122215898N1 IRCT 2014-05-10 Vice chancellor for research, Isfahan University of Medical Sciences The effect of an upper respiratory care program on incidence of ventilator-associated pneumonia The effect of an upper respiratory care program on incidence of ventilator-associated pneumonia in mechanically ventilated patient in Al-Zahra hospital intensive care units,Isfahan University of Medical Sciences. 2014-05-22 anticipated 64 Complete https://irct.ir/trial/15021 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A Ventilator Associated Pneumonia. Intervention 1: In the Intervention group, the upper respiratory care program was carried out, which included oral and subglottic secretion suction with 100-140 mmHg before each change position, head elevation every 12 hours (8am-8pm) using Oblique resulting the patient being fixed in 45◦,measuring the trachea cuff pressure twice a day every 12 hours (8 am-8pm) resulting in the fixed interval of 20-30 mmH2O. Intervention 2: In control group patients were taken under routine upper respiratory care, including oral and subglottic secretion suction every two hours for patients under mechanical ventilation independent of the position change routines. Measuring and controlling the trachea cuff pressure were not carried under any special protocols depending on the environmental characteristics. head elevation was taken under consideration but not documented.
public nasim bahrami
Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Azadi Square, Hezar-Jerib street, Isfahan Isfahan
Isfahan Iran (Islamic Republic of) +98 31 1792 2941 bahrami_n@nm.mui.ac.ir,n_bahrami2000@yahoo.com,nasim.bahrami58@gmail.com Isfahan University of Medical Science scientific soheila bakhtiari
Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Azadi Square, Hezar-Jerib street, Isfahan Isfahan
Isfahan Iran (Islamic Republic of) +98 31 1792 2911 bakhtiari@nm.mui.ac.ir Isfahan University of Medical Sciences Iran (Islamic Republic of) inclusion criteria: Patients above 18,mechanical ventilation more than 24 hr,free of pneumonia or hospital infections before and in the first 48 hr of intubation, free of invasive antibiotics, free of limitations due to head position of medical bed, Exclusion Criteria: Death before the end of the study, extubation before the end of the study,Transfer to other wards or hospitals before the end of the study, undergoing surgery during the study no limit no limit Both J95.9 Postprocedural respiratory disorder, unspecified Prevention Prevention In the Intervention group, the upper respiratory care program was carried out, which included oral and subglottic secretion suction with 100-140 mmHg before each change position, head elevation every 12 hours (8am-8pm) using Oblique resulting the patient being fixed in 45◦,measuring the trachea cuff pressure twice a day every 12 hours (8 am-8pm) resulting in the fixed interval of 20-30 mmH2O. In control group patients were taken under routine upper respiratory care, including oral and subglottic secretion suction every two hours for patients under mechanical ventilation independent of the position change routines. Measuring and controlling the trachea cuff pressure were not carried under any special protocols depending on the environmental characteristics. head elevation was taken under consideration but not documented. Incidence of Ventilator Associated Pneumonia. Timepoint: Before intervention, day 3, day 4, day 5,. Method of measurement: Clinical Pulmonary Infection Score, CPIS. Vice chancellor for research, Isfahan University of Medical Sciences Approved 2014-05-05 Medical Ethics Committee of Isfahan university of medical science. Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Azadi Square, Hezar-Jerib,Isfahan Isfahan Isfahan Iran, Islamic Republic Of 461-81746 Isfahan Iran (Islamic Republic of)