Nursing Care for Breathing Discomfort Among Mechanically Ventilated Patients

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-18

Study Completion Date

2020-12-31

Brief Summary

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Breathing discomfort (dyspnea) during mechanical ventilation in the ICU may complicate care.

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Detailed Description

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Patients on ventilators experience a variety of discomforts: symptoms (dyspnea ,fatigue , pain ) ,emotions (depression, anxiety ,panic) and feeling of lack to control .Patients may or may not express this discomfort outwardly with agitation ,restlessness ,grimacing or increase in the vital signs (heart rate ,blood pressure ,breathing frequency).The aim of the present study is to assess the prevalence of dyspnea among mechanically ventilated patients, Describe interventions that may alleviate breathing discomfort and examine its impact on clinical outcomes.

Conditions

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Dyspnea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Researcher will provide patients with suitable care for relieving dyspnea and record the outcomes

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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" interventional "

New other than Routine nursing care will be used.

Group Type OTHER

visual analogue scale (VAS),Respiratory distress observational scale (RDOS) and other Nursing care

Intervention Type OTHER

Distressed patient will be assessed by visual analogue scale(VAS) or respiratory distress observational scale.Nursing interventions will be done according to its causes as giving supplemental O2 therapy, pharmacologic therapy ,initiating positive pressure ventilation or change Ventilator settings (TV, PEEP, Inspiratory pressure ), Improve inspiratory muscle function by Nutrition, positioning or by minimizing use of steroids , clearing airway by Suctioning, Check O2 saturation level frequently and maintain O2 saturation between 95-100%, ,Raising the HOB (Head of the Bed), high Fowler's ,Give pain medications as prescribed or diuretics as ordered and If thick secretions increase oral fluids intake

" Control group "

Routine care only will be done for this group

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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visual analogue scale (VAS),Respiratory distress observational scale (RDOS) and other Nursing care

Distressed patient will be assessed by visual analogue scale(VAS) or respiratory distress observational scale.Nursing interventions will be done according to its causes as giving supplemental O2 therapy, pharmacologic therapy ,initiating positive pressure ventilation or change Ventilator settings (TV, PEEP, Inspiratory pressure ), Improve inspiratory muscle function by Nutrition, positioning or by minimizing use of steroids , clearing airway by Suctioning, Check O2 saturation level frequently and maintain O2 saturation between 95-100%, ,Raising the HOB (Head of the Bed), high Fowler's ,Give pain medications as prescribed or diuretics as ordered and If thick secretions increase oral fluids intake

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Intubated or tracheostomized patients who were mechanically ventilated for \>24 hrs.
* Age : 18-60 yrs
* Patients with Respiratory diseases
* Patients during spontaneous breathing trial