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IRCT20220618055209N1 IRCT 2022-06-23 Arak University of Medical Sciences Effect of postural drainage on physiological parameters of patients with covid-19 hospitalized in critical care unit Effect of postural drainage on physiological parameters of patients with covid-19 hospitalized in critical care unit 2022-07-06 anticipated 90 Complete https://irct.ir/trial/64248 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients will be allocated into 2 groups using a permuted balanced block randomization method with the size of blocks 4 and 8. Random sequence will be generated by an epidemiologist by running an online program in sealed envelope website (https://www.sealedenvelope.com/). Random chain concealment is done by opaque envelope method, Blinding description: The study is double-blind. The analysis is done by the analyst and outcome evaluator (two-blind) and the participant. Analysts, evaluators and participants are not aware of the consequences of grouping. 3 Patients with Covid-19. Intervention 1: Intervention group: In this group, patients, in addition to routine ward care, will be placed in special posture evacuation situations and will be used to move pulmonary secretions and direct them to the central airways due to the force of gravity. Positions are performed in three shifts in the morning, evening and night for ten minutes. In each shift, three positions will be performed for the patients. The evening shift will take the position of the arch with a 45-degree angle in the upper body and a 20-degree angle in the waist. The night shift will receive the prone position and the right lateral and left lateral positions at a 45 degree angle to the bed. In each shift, the total positioning time will take a total of 30 minutes. Intervention 2: Control group: In this group, patients will receive routine care in the intensive care unit, including chest physiotherapy. 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 Dr Seyed Yousef Shahtaheri
Valiasr Hospital, Valiasr squre, Shahid Shirodi street
Arak Iran (Islamic Republic of) 3814957558 +98 86 3222 2003 yousef.sh00@gmail.com Arak University of Medical Sciences scientific Dr Davood Hekmatpou
Payambar Azam complex, Basij square, Sardasht, Arak
Arak Iran (Islamic Republic of) 3814957558 +98 86 3417 3505 hekmatpou@yahoo.com Arak University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Medium to critical grade Covid-19 without intubation with respiratory symptoms Positive PCR test Need to receive more than 4 to 6 liters of oxygen per minute with a simple mask with non-rebreathing storage bag Apache score less than 25 18 to 75 years Absence of acute asthma, and other lung diseases such as pulmonary edema, heart and lung disease 18 years 75 years Both Reluctance to participate in the study Do not perform any of the evacuation situations Intubation during study Transfer the patient to the ward Death U07.1 COVID-19, virus identified Treatment - Other Treatment - Other Intervention group: In this group, patients, in addition to routine ward care, will be placed in special posture evacuation situations and will be used to move pulmonary secretions and direct them to the central airways due to the force of gravity. Positions are performed in three shifts in the morning, evening and night for ten minutes. In each shift, three positions will be performed for the patients. The evening shift will take the position of the arch with a 45-degree angle in the upper body and a 20-degree angle in the waist. The night shift will receive the prone position and the right lateral and left lateral positions at a 45 degree angle to the bed. In each shift, the total positioning time will take a total of 30 minutes. Control group: In this group, patients will receive routine care in the intensive care unit, including chest physiotherapy. Breathing rate. Timepoint: Before and immediately after each intervention. Method of measurement: Physical examination. Oxygen saturation percentage. Timepoint: Before and immediately after each intervention. Method of measurement: Pulse oximetry. Blood carbon dioxide pressure. Timepoint: At the beginning and end of the study. Method of measurement: Venous blood gas sample test. Blood pH. Timepoint: At the beginning and end of the study. Method of measurement: Venous blood gas sample test. Blood bicarbonate. Timepoint: At the beginning and end of the study. Method of measurement: Venous blood gas sample test. Need to get oxygen. Timepoint: Immediately after the intervention, one hour after each intervention and the day after the last intervention. Method of measurement: Physical examination. Number of coughs. Timepoint: Up to one hour after the end of each intervention and the next day at the end of the intervention time. Method of measurement: Physical examination. Arak University of Medical Sciences Approved 2021-11-28 Ethics comittee of Arak University of Medical Sciences Ethics comittee, Research center, Payambar Azam complex, Basij squre ,Sardasht,Arak Arak Markazi Iran (Islamic Republic of)