IRCT20181105041560N1 IRCT 2019-02-19 Oroumia University of Medical Sciences The Relationship Between changing patient position in Bed with Intra Abdominal Pressure and its Consequences among mechanically ventilated patients The Relationship Between changing patient position in Bed with Intra Abdominal Pressure and its Consequences among mechanically ventilated patients admitted to intensive care units 2019-02-17 anticipated 68 Complete https://irct.ir/trial/35103 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Prevention. N/A Intra Abdominal Presure. Control group: This study is an interventional study of the type before and after.In such a way that each person in different states of the body will be used as a witness for himself.. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information.

public Yusef Haghighi moghadam

Pardis Nazloo

Urmia Iran (Islamic Republic of) 5756115111 +98 44 3275 4961 hagigym@yahoo.com Oroumia University of Medical Sciences scientific Yusef Haghighi moghadam

Pardis Nazloo

Urmia Iran (Islamic Republic of) 5756115111 +98 44 3275 4961 hagigym@yahoo.com Oroumia University of Medical Sciences Iran (Islamic Republic of) Age > 18 years old Mechanically ventilated patient Have indwelling urine catheter in place Scor of Critical care Pain Observation Tool ≤2 Length of ICU stays ≥ 48 hours 18 years no limit Both Unable to change position Norogenic bladder Bladder rupture Hematuria Heart failure and Pulmonary edema Pregnancy Excessive obesity Acute abdominal patients Probability of survival less than 24 hours N/A Control group: This study is an interventional study of the type before and after.In such a way that each person in different states of the body will be used as a witness for himself. Intra Abdominal Pressure:The intra-abdominal pressure is a sustained pressure that lies inside the abdominal cavity. Timepoint: we will Measure inetra abdominal pressure in each of the different situations(15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) first time before changing the position of the patient in 0 degree head of bed, second time, 20 minute after changing position,and third tim, 20 minut after returning to 0 degree.interval among the interventions( put the patients in different positions of 15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) will be 2 hours. Method of measurement: Measuring Intera-vesical pressure by water manometer of central vein pressure measuring device. Mean Arterial Pressure: It is the average amount of the systemic pressure with normal range of 70 to 105 mm Hg. Timepoint: we will Measure the Mean Arterial Pressure in each of the different situations(15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) first time before changing the position of the patient in 0 degree head of bed, second time, 20 minute after changing position,and third tim, 20 minut after returning to 0 degree.interval among the interventions( put the patients in different positions of 15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) will be 2 hours. Method of measurement: It will be measured by a monitor device attached to the patient. Abdominal Perfusion Pressure:If the intra-abdominal pressure is lowered from the median arterial pressure, abdominal perfusion pressure will be obtained. In adults, it should be above 50 mm Hg to provide adequate ventricular perfusion. Timepoint: we will measure Abdominal Perfusion Pressure in each of the different situations(15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) first time before changing the position of the patient in 0 degree head of bed, second time, 20 minute after changing position,and third tim, 20 minut after returning to 0 degree.interval among the interventions( put the patients in different positions of 15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) will be 2 hours. Method of measurement: we will Calculate the Abdominal Perfusion Pressure with subtraction the mean arterial pressure measured by the monitor attached to the patient and intera abdominal pressure measured by water manometer. Mean Airway Pressure:It is the pressure measured at the airway opening, averaged over the entire ventilatory cycle. Timepoint: we will measure the Mean Airway Pressure in each of the different situations(15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) first time before changing the position of the patient in 0 degree head of bed, second time, 20 minute after changing position,and third tim, 20 minut after returning to 0 degree.interval among the interventions( put the patients in different positions of 15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) will be 2 hours. Method of measurement: It will be measured by the ventilator device attached to the patient. Peak Inspiratory Pressure:It is the highest level of pressure applied to the lungs during inhalation. Timepoint: we will measure the Peak Inspiratory Pressure in each of the different situations(15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) first time before changing the position of the patient in 0 degree head of bed, second time, 20 minute after changing position,and third tim, 20 minut after returning to 0 degree.interval among the interventions( put the patients in different positions of 15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) will be 2 hours. Method of measurement: It will be measured by the ventilator device attached to the patient. Plateau Pressure:It is the pressure of the air ways at the end of inspration. Timepoint: we will measure the Plateau Pressure in each of the different situations(15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) first time before changing the position of the patient in 0 degree head of bed, second time, 20 minute after changing position,and third tim, 20 minut after returning to 0 degree.interval among the interventions( put the patients in different positions of 15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) will be 2 hours. Method of measurement: It will be measured by the ventilator device attached to the patient. Auto PEEP: The Positive End Expratory Pressure in the air ways that is becouse of inadequate expratory tim. Timepoint: we will measure the Auto PEEP in each of the different situations(15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) first time before changing the position of the patient in 0 degree head of bed, second time, 20 minute after changing position,and third tim, 20 minut after returning to 0 degree.interval among the interventions( put the patients in different positions of 15 degree, 30 degree, 45 degree, right lateral position with 30 degree, left lateral position with 30 degree) will be 2 hours. Method of measurement: It will be measured by the ventilator device attached to the patient. Oroumia University of Medical Sciences Approved 2018-12-29 Ethics committee of Urmia University of Medical Sciences Next to the Emergency department., Jahad Ave., Resalat Blvd. Urmia West Azarbaijan Iran (Islamic Republic of)