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IRCT20190922044842N1 IRCT 2019-11-04 Kerman University of Medical Sciences Comparison of Intubation fluency in patient with lung contusion via epidural analgesia with non invasive ventilation versus intravenous analgesia with facemask oxygen in patients with chest trauma. Comparison of Intubation fluency in patient with lung contusion via epidural analgesia with non invasive ventilation versus intravenous analgesia with facemask oxygen in patients with chest trauma. 2019-08-27 anticipated 50 Complete https://irct.ir/trial/42353 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients are available by sampling method and were selected using a simple accident method with use random allocation software they were divided into two groups at a ratio of 1: 1.50 blocks including 25 people in group A and 25 people in group B.Individual randomization unit and there is no layered randomization.This study is a double blind.Analysis was performed using statistical software, Blinding description: The blindness of the patient and the researcher were such that they did not know the type of anesthesia and pain control and which group they belonged to. 3 Trauma-induced lung contusion patients. Intervention 1: Intervention group:In this group after insertion of the thoracic epidural catheter on arrival at the intensive care unit In thoracic vertebrae 6 and 7 at first 10 cc of ropivacaine 0.5% and then 10 cc of ropivacaine 0.2% per hour were administered via pump syringe.Simultaneously, oxygen therapy was started with Bipap with 5-10 cm of water, which was changed based on blood gas analysis and patient comfort. Intervention 2: Intervention group: In this group 5mg morphine and 30mg ketolac via peripheral vein and Repeated every 6 hours respiratory support was performed at the same time as vancouver's mask, which was modified based on Fio2 blood gases. 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 No more information
public Maryam Amiri
Research Deputy.E-bn Sina Street
Kerman Iran (Islamic Republic of) 7619813159 +98 34 3226 4071 behnazkarimpoor@gmail.com Kerman University of Medical Sciences scientific Maryam Amiri
Research Deputy.E-bn Sina Street
Kerman Iran (Islamic Republic of) 7619813159 +98 34 3226 4071 behnazkarimpoor@gmail.com Kerman University of Medical Sciences Iran (Islamic Republic of) Ages 18 to 60 years No history of previous illness Patients with lung cantogen with or no gear breakage that is, for some reason, such as severe trauma,ABG changes etc need respiratory support and care in the intensive care unit 18 years 60 years Both Previous disease history Pulmonary embolism Spinal trauma Drug sensitivity The need for surgery and transfer to the operating room where intubation of the patient is necessary Personal dissatisfaction Unstable vital signs Long bone fractures S27.32 Contusion of lung Treatment - Drugs Treatment - Drugs Intervention group:In this group after insertion of the thoracic epidural catheter on arrival at the intensive care unit In thoracic vertebrae 6 and 7 at first 10 cc of ropivacaine 0.5% and then 10 cc of ropivacaine 0.2% per hour were administered via pump syringe.Simultaneously, oxygen therapy was started with Bipap with 5-10 cm of water, which was changed based on blood gas analysis and patient comfort. Intervention group: In this group 5mg morphine and 30mg ketolac via peripheral vein and Repeated every 6 hours respiratory support was performed at the same time as vancouver's mask, which was modified based on Fio2 blood gases. Assessment of pain in recipients epidural analgesia with non invasive ventilation and recipients of systemic anesthesia with oxygen mask. Timepoint: First in the first groupembedded thoracic epidural catheter on arrival at the intensive care unit in thoracic vertebrae 6 and 7 and ropivacaine was then administered per hour via a pump syringe.In the second group on arrival at the intensive care unit morphine and Ketrolac ampoules repeated every 6 hours, at the same time as the Venturi mask respiratory support. Method of measurement: In the first group measuring response to treatment score pain,rate heart,rate respiratory,pco2 pao2 checked out.In the second group visual Pain Scale. Kerman University of Medical Sciences Approved 2019-08-24 Ethics Committee of Kerman University of Medical Sciences Ebn-e-Sina St.,Jahad Blvd.,Kerman,Iran کرمان Kerman Iran (Islamic Republic of)