Semirecumbent Position by Mechanical Ventilation

NCT ID: NCT04149665

Last Updated: 2020-06-16

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

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-11

Study Completion Date

2020-08-15

Brief Summary

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It's based in an observational trial in mechanical ventilated patients. The investigators assess the head of bed elevation angle in the routine treatment of the unit. The investigators decide to assess the time the patient has a semirecumbent position \>35°.

Detailed Description

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A Semirecumbent-bed position in mechanical ventilated patients is recommended in every international guidelines in order to avoiding Ventilator Associated Pneumonia (VAP). Despite being a simple and cheap measure, the literature describe a low compliance. Globally, every intensive care unit tends to use different maneuvers that help or improve compliance of this recommendation. However, there are multiple factors in daily work that hinder compliance. Before taking actions, it would be convenient to know the current state of the unit.

Investigators aim to evaluate the quality with which the recommendation is carried out in the unit in order to maintain a semirecumbent position. To conduct the Trial it will be used a device that measures continuously (every 5 minutes) the angle of the bed without giving any information to caregivers. Once patients are extubated the data will be collected.

Conditions

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Mechanical Ventilation Complication Ventilator Associated Pneumonia Compliance, Treatment

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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simple blind observation

Device that measures continuously the angle of bed by mechanical Ventilation to assess the time the bed is above 35°.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Every ventilated patients

Exclusion Criteria

* Patients excluded are those lower that 18 years old or neurocritical patients that require flat position.
Minimum Eligible Age

19 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bürgerspital Solothurn

OTHER

Sponsor Role lead

Responsible Party

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Marcos Delgado

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Bürgerspital Solothurn

Solothurn, , Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Marcos Delgado

Role: CONTACT

+41326273820

Facility Contacts

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Marcos Delgado, Doctor

Role: primary

+41786724377

References

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Kollef MH. Ventilator-associated pneumonia. A multivariate analysis. JAMA. 1993 Oct 27;270(16):1965-70.

Reference Type BACKGROUND
PMID: 8411554 (View on PubMed)

Deye N, Lellouche F, Maggiore SM, Taille S, Demoule A, L'Her E, Galia F, Harf A, Mancebo J, Brochard L. The semi-seated position slightly reduces the effort to breathe during difficult weaning. Intensive Care Med. 2013 Jan;39(1):85-92. doi: 10.1007/s00134-012-2727-5. Epub 2012 Oct 24.

Reference Type BACKGROUND
PMID: 23093247 (View on PubMed)

Drakulovic MB, Torres A, Bauer TT, Nicolas JM, Nogue S, Ferrer M. Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial. Lancet. 1999 Nov 27;354(9193):1851-8. doi: 10.1016/S0140-6736(98)12251-1.

Reference Type BACKGROUND
PMID: 10584721 (View on PubMed)

van Nieuwenhoven CA, Vandenbroucke-Grauls C, van Tiel FH, Joore HC, van Schijndel RJ, van der Tweel I, Ramsay G, Bonten MJ. Feasibility and effects of the semirecumbent position to prevent ventilator-associated pneumonia: a randomized study. Crit Care Med. 2006 Feb;34(2):396-402. doi: 10.1097/01.ccm.0000198529.76602.5e.

Reference Type BACKGROUND
PMID: 16424720 (View on PubMed)

Alexiou VG, Ierodiakonou V, Dimopoulos G, Falagas ME. Impact of patient position on the incidence of ventilator-associated pneumonia: a meta-analysis of randomized controlled trials. J Crit Care. 2009 Dec;24(4):515-22. doi: 10.1016/j.jcrc.2008.09.003. Epub 2009 Feb 13.

Reference Type BACKGROUND
PMID: 19327314 (View on PubMed)

Vincent JL, Bihari DJ, Suter PM, Bruining HA, White J, Nicolas-Chanoin MH, Wolff M, Spencer RC, Hemmer M. The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee. JAMA. 1995 Aug 23-30;274(8):639-44.

Reference Type RESULT
PMID: 7637145 (View on PubMed)

Other Identifiers

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Req-2019-01052

Identifier Type: -

Identifier Source: org_study_id

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