Semirecumbent Position by Mechanical Ventilation
Study Details
Study Description
Brief Summary
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°.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
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.
Study Design
Outcome Measures
Primary Outcome Measures
- Compliance of semirecumbent position in mechanical ventilated patients [November 2019 to April 2020]
Assess how long are mechanical ventilated patient with a head of bed elevation above 35°.
Secondary Outcome Measures
- Demographic and disease characteristics of involved patients. [November 2019 to April 2020]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Every ventilated patients
Exclusion Criteria:
- Patients excluded are those lower that 18 years old or neurocritical patients that require flat position.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Bürgerspital Solothurn | Solothurn | Switzerland | 4500 |
Sponsors and Collaborators
- Bürgerspital Solothurn
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- 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.
- Deye N, Lellouche F, Maggiore SM, Taillé 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.
- Drakulovic MB, Torres A, Bauer TT, Nicolas JM, Nogué 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.
- Kollef MH. Ventilator-associated pneumonia. A multivariate analysis. JAMA. 1993 Oct 27;270(16):1965-70.
- 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.
- Req-2019-01052