Visual Cue as Prevention of Pulmonary Infection Under Mechanical Ventilation

NCT ID: NCT03687177

Last Updated: 2018-09-27

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 180 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-09-20
• Study Completion Date: 2019-10-22

Brief Summary

Nosocomial pneumonia is the third causes of nosocomial infection. In intensive care unit, their incidence is even higher, of the order of 10 to 30% in patients with invasive mechanical ventilation (IMV). One of the main mechanisms behind VAP (Ventilator-Associated Pneumonia) is the passage of germs colonizing the oropharynx to the subglottic airways. The presence of a nasogastric tube, immobilization, and strict dorsal decubitus increase the risk of colonization of the tracheobronchial tree and pneumonia in these patients. To reduce the incidence of VAP, several strategies have been developed in intensive care to try to control these different risk factors. These sets of measures, also called "bundle" systematically include the control of the elevation of the patient's head more than 30 °. Nevertheless, the strict and permanent control of the elevation of the patient's head is difficult to obtain. One of the reasons that may explain the difficulty of ensuring a correct elevation is the absence of visual cues that are easy to obtain on the beds of patients. An easily identifiable visual cue at the head of the bed would probably provide a satisfactory elevation (greater than 30 °) in patients intubated in intensive care. Our hypothesis is that the addition to the head of the patient's bed of a visible mark that is easily visible and easily interpretable by all the nurses will improve the elevation of the head of the patients in intensive care.

Conditions

Pulmonary Infection

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Control group

Nurses from intensive care informed on the prevention of VAP and without visual cue to estimate the angle of elevation of the head of intubated patients

Group Type: OTHER

Without visual cue and nurses informed

Intervention Type: OTHER

Not using visual cue or no visual cue with to estimate the angle of elevation of the head of intubated patients with prevention of nurse

Experimental group

Nurses from intensive care informed on the prevention of VAP with visual cue to estimate the angle of elevation of the head of intubated patients.

Group Type: OTHER

With visual cue and nurses informed

Intervention Type: OTHER

Using visual cue or no visual cue with to estimate the angle of elevation of the head of intubated patients with prevention of nurse

Interventions

With visual cue and nurses informed

Using visual cue or no visual cue with to estimate the angle of elevation of the head of intubated patients with prevention of nurse

Intervention Type: OTHER

Without visual cue and nurses informed

Not using visual cue or no visual cue with to estimate the angle of elevation of the head of intubated patients with prevention of nurse

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patient admitted to intensive care with invasive mechanical ventilation more than two days

Exclusion Criteria

• Pregnancy
• Spinal trauma
• Brain trauma

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University Hospital, Strasbourg, France

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Hôpitaux Universitaires de Strasbourg

Strasbourg, , France

Site Status: RECRUITING

Countries

France

Central Contacts

Sylvie L'HOTELLIER

Role: CONTACT

sylvie.l'hotellier@chru-strasbourg.fr

03.88.12.79.14 ext. 033

Facility Contacts

Sylvie L'Hotellier

Role: primary

sylvie.l'hotellier@chru-strasbourg.fr

03.88.12.79.14

Other Identifiers

6793

Identifier Type: -

Identifier Source: org_study_id