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IRCT20231001059572N1 IRCT 2023-12-08 Ahvaz University of Medical Sciences pva review PVA Investigating the effect of implementing a management protocol of patient-ventilator asynchrony on the clinical outcomes of patients admitted to ICU 2024-07-31 anticipated 60 Complete https://irct.ir/trial/72880 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: This study is a randomized clinical trial in two intervention and control groups. The sample size was determined based on the findings of previous studies with the help of the med calc statistical software with a power of 90% and an error of 10%, 60 cases (30 people in each group). Due to the possibility of sample dropout, 10% will be added to the above sample size. First, the samples will be selected according to the available sampling method according to the entry criteria, and then using the replacement block randomization method in the two intervention groups. and control (33 people each) will be randomly assigned. In this way, 11 blocks of 6 will be selected and then one of the 6 combinations of two groups will be assigned in each block. N/A Patients who need to be connected to a ventilator due to breathing problems or other problems. In the intervention group, the researcher checked the mechanical ventilation status of the patients twice a day during the morning and evening shifts using the patient asynchrony management protocol and the ventilator device and, if necessary, took the necessary care and treatment based on the PVA management protocol and in coordination He will do for the patient with the ICU specialist doctor and the nurses in the ward. The control group will receive routine ward care. In the control group, the routine care of the patients is received by the relevant personnel, and the protocol was not taught to the nurse. 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 further information
public maryam rozeahvazy
Golestan, Isfahan Street, Isfahan Complex, Unit 7
ahvaz Iran (Islamic Republic of) 6136844368 +98 61 3375 4852 maryamrozeahvazy@gmail.com Ahvaz University of Medical Sciences scientific mohamad adine
Golestan Street, Jundishapur University of Medical Sciences, Ahvaz, Faculty of Nursing and Midwifery
ahvaz Iran (Islamic Republic of) ۶۱۵۴۸۷۸۴۲۵ +98 61 3374 3001 mohadineh@gmail.com Ahvaz University of Medical Sciences Iran (Islamic Republic of) Connecting to the ventilator Do not be under ventilator for more than three days Apache score between 30 and 50 Having the informed consent of the patient's guardian Age range from 15 to 65 years Having a spontaneous breathing effort in addition to the forced breathing of the ventilator 15 years 65 years Both Receiving neuromuscular blocking drugs during the study Creating conditions that cause the patient to be on the controlled modes of the ventilator for a long time (such as brain death) Treatment - Other In the intervention group, the researcher checked the mechanical ventilation status of the patients twice a day during the morning and evening shifts using the patient asynchrony management protocol and the ventilator device and, if necessary, took the necessary care and treatment based on the PVA management protocol and in coordination He will do for the patient with the ICU specialist doctor and the nurses in the ward. The control group will receive routine ward care. In the control group, the routine care of the patients is received by the relevant personnel, and the protocol was not taught to the nurse The duration of dependence on the ventilator. Timepoint: The number of days dependent on the ventilator. Method of measurement: check list. Length of hospitalization in the special ward. Timepoint: The number of days of hospitalization in the special ward. Method of measurement: check list. Ahvaz University of Medical Sciences Approved 2023-12-07 Ethics Committee of Ahvaz University of Medical Sciences Golestan St., Jundishapur University of Medical Sciences, Ahvaz, Faculty of Nursing and Midwifery ahvaz Khouzestan Iran (Islamic Republic of)